NICOLE EDMONDS RD
NPI 1891510459
Dietitian, Registered in Lansing, MI

Active since November 19, 2024Accepts Medicare Assignment
812 E JOLLY RD, LANSING, MI 48910(517) 237-7350 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nicole Edmonds Rd NPPES

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

NICOLE EDMONDS RD (NPI 1891510459) is an individual dietitian, registered in Lansing, Michigan, licensed in Michigan (86040794) and active in the NPI registry since November 2024. She is a graduate of Other (2014).

NPPES Registry Identity

NPI1891510459
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameNICOLE EDMONDSCredential: RD
Location Address812 E JOLLY RDLansing, MI 48910-6825
Mailing Address812 E Jolly RdLansing, MI 48910-6825 · (517) 237-7350
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 19, 2024
NPPES CertifiedNovember 19, 2024
✔ NPI 1891510459 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 MI · 86040794
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.
812 E JOLLY RD, Lansing, MI 48910

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

Nicole Edmonds Rd 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 ID1850863374
PECOS Enrollment IDI20260616002873

Medicare Billing Reassignment

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

Mental Health (Including Community Mental Health Center)
812 E JOLLY ROAD
Lansing, MI 48910
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Community Mental Health Authority Of Clinton Eaton Ingham Counties
  • 232 clinicians in this Medicare group

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 48910 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 $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 20

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

Social Worker (Clinical)
812 E JOLLY RD, G-14
LANSING, MI 48910
Licensed Practical Nurse
812 E JOLLY RD
LANSING, MI 48910
Social Worker
812 E JOLLY RD, STE G-10
LANSING, MI 48910
Social Worker (Clinical)
812 E JOLLY RD, STE G14
LANSING, MI 48910
Social Worker (Clinical)
812 E JOLLY RD, SUITE 215
LANSING, MI 48910
Registered Nurse
812 E JOLLY RD, STE 112
LANSING, MI 48910
Social Worker (Clinical)
812 E JOLLY RD, 215A
LANSING, MI 48910
Counselor (Professional)
812 E JOLLY RD, STE 216
LANSING, MI 48910

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 Edmonds's NPI number?

The NPI number for Nicole Edmonds is 1891510459. It was assigned to this individual provider in the NPPES registry on November 19, 2024.

Where is Nicole Edmonds located?

Nicole Edmonds practices at 812 E Jolly Rd, Lansing, MI 48910. The listed phone number is (517) 237-7350.

What is Nicole Edmonds's specialty?

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

Is Nicole Edmonds enrolled in Medicare?

Yes. Nicole Edmonds 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 Nicole Edmonds's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Edmonds reassigns Medicare benefits to Community Mental Health Authority Clinton Eaton Ingham Counties (Lansing, MI). 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 Edmonds'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 Edmonds was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.