NICOLE KUMKE RDN
NPI 1871720615
Dietitian, Registered in Munster, IN

Q: What is Nicole Kumke's NPI number?

The NPI number for Nicole Kumke is 1871720615. It was assigned to this individual provider in the NPPES registry on June 19, 2009. The provider is also known as Nicole Pefley Rdn.

Q: What is Nicole Kumke's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Kumke was last updated on January 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 19, 2009Accepts Medicare Assignment

761 45TH ST STE 110, MUNSTER, IN 46321(219) 922-3020(219) 922-3023 Get Directions Write a Review

NPPES record last updated: January 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 6, 2023, Jun 30, 2021 (2 updates tracked since 2021).

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About Nicole Kumke Rdn NPPES

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

NICOLE KUMKE RDN (NPI 1871720615) is an individual dietitian, registered in Munster, Indiana, licensed in Indiana (37003576A) and active in the NPI registry since June 2009. She maintains a secondary practice location in Oak Park and is a graduate of Other (2001).

NPPES Registry Identity

NPI1871720615

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameNICOLE KUMKECredential: RDN

Location Address761 45TH ST STE 110Munster, IN 46321-2899

Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479

Phone(219) 922-3020

Fax(219) 922-3023

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateJune 19, 2009

Last NPPES UpdateJanuary 6, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2023

✔ NPI 1871720615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Licenses✔ Licensed in IN · 37003576A✔ Licensed in IL · 164.004214

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.

761 45TH ST STE 110, Munster, IN 46321

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Other Names 1

Former Name (1)Nicole Pefley Rdn

Secondary Practice Location 1

Location 13 Erie Ct, L300Oak Park, IL 60302-2519 · Phone (708) 763-6951

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Kumke Rdn 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 ID6608246681

PECOS Enrollment IDI20230109001870

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure for nutrition management, each 15 minutes 97802

This is a 15-minute session focused on managing your nutrition. A professional will assess your dietary habits and provide personalized advice to improve your health. It can help manage weight, control chronic diseases, and promote overall wellbeing.

172 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46321 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 $53.07 – $161.76

Typical copayment $0.00 (range $13.26 – $40.44)

Most-billed visit code NA

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

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Other Providers at the Same Location NPPES 9

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

THOTTATHIL VISWANATHAN GOPAN MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)