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NICOLE ROSE LIGHT
NPI 1679495535
Audiologist in Havertown, PA

Active since July 29, 2026
301 W CHESTER PIKE STE 101, HAVERTOWN, PA 19083(610) 446-6900 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nicole Rose Light NPPES

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

NICOLE ROSE LIGHT (NPI 1679495535) is an individual audiologist in Havertown, Pennsylvania, licensed in Pennsylvania (AT007125) and active in the NPI registry since July 2026. She is a graduate of Drexel University College Of Medicine (2026).

NPPES Registry Identity

NPI1679495535
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameNICOLE ROSE LIGHT
Location Address301 W CHESTER PIKE STE 101Havertown, PA 19083-4530
Mailing Address301 W Chester Pike Ste 101Havertown, PA 19083-4530
Phone(610) 446-6900
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2026
Enumeration DateJuly 29, 2026
NPPES CertifiedJuly 29, 2026
✔ NPI 1679495535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in PA · AT007125
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
301 W CHESTER PIKE STE 101, Havertown, PA 19083
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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)

Nicole Rose Light is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648739045
PECOS Enrollment IDI20260826003004

Medicare Billing Reassignment

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

Pinnacle Ent Alliance LLC
9.2 mi
Otolaryngology/Facial Plastic Surgery
994 OLD EAGLE SCHOOL RD, SUITE 1017
Wayne, PA 19087
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 79 clinicians in this Medicare group
NPI 1538230313 (610) 902-6092

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

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE THOMAS PA-C
Physician Assistant
301 W CHESTER PIKE STE 101
HAVERTOWN, PA 19083
Delaware County (610) 446-6900
SARAH KOCH
Speech-Language Pathologist
301 W CHESTER PIKE STE 101
HAVERTOWN, PA 19083
Delaware County (610) 446-6900
EVAN ANTHONY JONES MD
Otolaryngology
301 W CHESTER PIKE STE 101
HAVERTOWN, PA 19083
Delaware County (484) 282-2930
DR. HAYLEY ANNA MORGAN AUD
Audiologist
301 W CHESTER PIKE STE 101
HAVERTOWN, PA 19083
Delaware County (610) 446-6900
HELEN JOHANNA LESSER DO
Otolaryngology
301 W CHESTER PIKE STE 101
HAVERTOWN, PA 19083
Delaware County (601) 446-6900

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 Light's NPI number?

The NPI number for Nicole Light is 1679495535. It was assigned to this individual provider in the NPPES registry on July 29, 2026.

Where is Nicole Light located?

Nicole Light practices at 301 W Chester Pike Ste 101, Havertown, PA 19083. The listed phone number is (610) 446-6900.

What is Nicole Light's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Nicole Light enrolled in Medicare?

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

Which organization bills Medicare for Nicole Light's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Light reassigns Medicare benefits to Pinnacle Ent Alliance LLC (Wayne, PA). 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 Light'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 Light was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.