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MRS. NICOLE L MORETTA MS, RDN
NPI 1639628811
Dietitian, Registered in Orchard Park, NY

Active since September 28, 2016
3671 SOUTHWESTERN BLVD., ST 101, ORCHARD PARK, NY 14127(716) 662-7008(716) 662-5226 Get Directions Write a Review

NPPES record last updated: September 28, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Nicole L Moretta Ms, Rdn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. NICOLE L MORETTA MS, RDN (NPI 1639628811) is an individual dietitian, registered in Orchard Park, New York and active in the NPI registry since September 2016. She is a graduate of Other (2014).

NPPES Registry Identity

NPI1639628811
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMRS. NICOLE L MORETTACredential: MS, RDN
Location Address3671 SOUTHWESTERN BLVD., ST 101Orchard Park, NY 14127
Mailing Address3671 Southwestern Blvd., St 101Orchard Park, NY 14127 · (716) 662-7008 · Fax (716) 662-5226
Phone(716) 662-7008
Fax(716) 662-5226
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 28, 2016
✔ NPI 1639628811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
3671 SOUTHWESTERN BLVD., Orchard Park, NY 14127
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Nicole L Moretta Ms, Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153685268
PECOS Enrollment IDI20180425001991

Medicare Billing Reassignment

Medicare enrollment records show Nicole Moretta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Robert Erickson Do And Jennifer Erickson Do LLC
0.1 mi
Family Medicine
3671 SOUTHWESTERN BLVD ST 213
Orchard Park, NY 14127
  • Reassigned Medicare billing, New York enrollment
  • 14 clinicians in this Medicare group
NPI 1992866990 (716) 667-2673

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Moretta's NPI number?

The NPI number for Nicole Moretta is 1639628811. It was assigned to this individual provider in the NPPES registry on September 28, 2016.

Where is Nicole Moretta located?

Nicole Moretta practices at 3671 Southwestern Blvd. St 101, Orchard Park, NY 14127. The listed phone number is (716) 662-7008.

What is Nicole Moretta's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Nicole Moretta enrolled in Medicare?

Yes. Nicole Moretta is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Moretta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Moretta reassigns Medicare benefits to Robert Erickson Do And Jennifer Erickson Do LLC (Orchard Park, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Moretta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Moretta was last updated on September 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.