MS. ALEXANDRA MARIE NICOLETTE MS, RD, CDN
NPI 1689237372
Dietitian, Registered in Utica, NY

Q: What is Alexandra Nicolette's NPI number?

The NPI number for Alexandra Nicolette is 1689237372. It was assigned to this individual provider in the NPPES registry on April 17, 2019.

Q: What is Alexandra Nicolette's specialty?

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

Active since April 17, 2019Accepts Medicare Assignment

2615 GENESEE ST, UTICA, NY 13501(315) 351-2622(315) 215-2920 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 30, 2021, Feb 12, 2021, Jun 11, 2019 and 1 more (4 updates tracked since 2019).

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About Ms. Alexandra Marie Nicolette Ms, Rd, Cdn NPPES

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

MS. ALEXANDRA MARIE NICOLETTE MS, RD, CDN (NPI 1689237372) is an individual dietitian, registered in Utica, New York, licensed in New York (009966) and active in the NPI registry since April 2019. She is a graduate of Other (2015).

NPPES Registry Identity

NPI1689237372

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMS. ALEXANDRA MARIE NICOLETTECredential: MS, RD, CDN

Location Address2615 GENESEE STUtica, NY 13501-6230

Mailing Address2615 Genesee StUtica, NY 13501-6230 · (315) 351-2622 · Fax (315) 215-2920

Phone(315) 351-2622

Fax(315) 215-2920

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateApril 17, 2019

Last NPPES UpdateJune 30, 20214 updates tracked since enumeration

NPPES CertifiedJune 30, 2021

✔ NPI 1689237372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in NY · 009966

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.

2615 GENESEE ST, Utica, NY 13501

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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 and accepts Medicare assignment

Ms. Alexandra Marie Nicolette Ms, Rd, Cdn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618379249

PECOS Enrollment IDI20210706001506

Medicare Billing Reassignment

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

Bloom Nutrition Solutions LLC

3.1 mi

Dietitian, Registered

326 BROAD ST
Utica, NY 13501

Reassigned Medicare billing, New York enrollment
2 clinicians in this Medicare group

NPI 1811581705 (315) 351-2622

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.87 – $166.88

Typical copayment $0.00 (range $13.71 – $41.72)

Most-billed visit code NA

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

DANIELLE SWIERCZYNA MS, RDN, CDN

Dietitian, Registered

2615 GENESEE ST
UTICA, NY 13501

Oneida County (315) 351-2622

MS. VALERIE E LOPATA PI

Kinesiotherapist

2615 GENESEE ST
UTICA, NY 13501

Oneida County (315) 796-7870

GOULD STANDARD CHIROPRACTIC AND ACUPUNCTURE PLLC

Chiropractor

2615 GENESEE ST
UTICA, NY 13501

Oneida County (315) 404-3868

BODYWISE PURE PILATES, LLC

Kinesiotherapist

2615 GENESEE ST
UTICA, NY 13501

Oneida County (315) 796-7870

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 Alexandra Nicolette's NPI number?

The NPI number for Alexandra Nicolette is 1689237372. It was assigned to this individual provider in the NPPES registry on April 17, 2019.

Where is Alexandra Nicolette located?

Alexandra Nicolette practices at 2615 Genesee St, Utica, NY 13501. The listed phone number is (315) 351-2622.

What is Alexandra Nicolette's specialty?

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

Is Alexandra Nicolette enrolled in Medicare?

Yes. Alexandra Nicolette is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Alexandra Nicolette's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexandra Nicolette reassigns Medicare benefits to Bloom Nutrition Solutions LLC (Utica, 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 Alexandra Nicolette'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 Alexandra Nicolette was last updated on June 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.