NICOLE BERG
NPI 1922473149
Dietitian, Registered in Yakima, WA

Active since December 14, 2015

NPPES record last updated: June 5, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 5, 2019, Apr 21, 2017, Dec 14, 2015 (3 updates tracked since 2015).

About Nicole Berg NPPES

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

NICOLE BERG (NPI 1922473149) is an individual dietitian, registered in Yakima, Washington and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1922473149
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameNICOLE BERG
Location Address12 S 8TH STYakima, WA 98901-3020
Mailing AddressPo Box 2605Yakima, WA 98907-2605
Sole ProprietorNo
Enumeration DateDecember 14, 2015
Last NPPES UpdateJune 5, 20193 updates tracked since enumeration
✔ NPI 1922473149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License DI60623977 (WA)
12 S 8TH ST, Yakima, WA 98901

Other Names 1

Former Name (1)Nicole Thompson

Other Identifiers 1

Other86047366WA · Rdn

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Billing Reassignment

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

Federally Qualified Health Center (FQHC)
12 S 8TH ST
Yakima, WA 98901
  • Reassigned Medicare billing, Washington enrollment
  • 44 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.

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)
12 S 8TH ST
YAKIMA, WA 98901
Registered Nurse
12 S 8TH ST
YAKIMA, WA 98901
Registered Nurse
12 S 8TH ST
YAKIMA, WA 98901
Counselor (Addiction (Substance Use Disorder))
12 S 8TH ST
YAKIMA, WA 98901
Registered Nurse
12 S 8TH ST
YAKIMA, WA 98901
Counselor
12 S 8TH ST
YAKIMA, WA 98901
Dietitian, Registered
12 S 8TH ST
YAKIMA, WA 98901
Nurse Practitioner (Psychiatric/Mental Health)
12 S 8TH ST
YAKIMA, WA 98901

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 Berg's NPI number?

The NPI number for Nicole Berg is 1922473149. It was assigned to this individual provider in the NPPES registry on December 14, 2015. The provider is also known as Nicole Thompson.

Where is Nicole Berg located?

Nicole Berg practices at 12 S 8th St, Yakima, WA 98901. The listed phone number is (509) 454-4143.

What is Nicole Berg's specialty?

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

Is Nicole Berg enrolled in Medicare?

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

Which organization bills Medicare for Nicole Berg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Berg reassigns Medicare benefits to Yakima Neighborhood Health Services (Yakima, WA). 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 Berg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Berg accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Nicole Berg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Berg was last updated on June 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.