NICOLE MARIE LOMBILLO
NPI 1962275628
Speech-Language Pathologist in Boulder, CO

Active since November 03, 2023Accepts Medicare Assignment
350 PONCA PL, BOULDER, CO 80303(303) 499-4888 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nicole Marie Lombillo NPPES

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

NICOLE MARIE LOMBILLO (NPI 1962275628) is an individual speech-language pathologist provider in Boulder, Colorado, licensed in Colorado (0004135) and active in the NPI registry since November 2023. She is a graduate of Other (1997).

NPPES Registry Identity

NPI1962275628
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameNICOLE MARIE LOMBILLO
Location Address350 PONCA PLBoulder, CO 80303-3828
Mailing Address3075 7th StBoulder, CO 80304-2509 · (239) 404-3242
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateNovember 3, 2023
NPPES CertifiedNovember 3, 2023
✔ NPI 1962275628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in CO · 0004135
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
350 PONCA PL, Boulder, CO 80303

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 Marie Lombillo 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 ID8123476645
PECOS Enrollment IDI20231122000510

Medicare Billing Reassignment

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

Physical Therapist
4950 THUNDERBIRD DR
Boulder, CO 80303
  • Reassigned Medicare billing, Colorado enrollment
  • 15 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.

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.

Treatment of speech, language, voice, communication, and/or hearing processing disorder 92507
This treatment involves working with a specialist to improve communication skills. It could involve exercises to enhance speech clarity, language understanding, voice volume, or hearing comprehension. The goal is to enhance your ability to express and understand others effectively.
157 services14 patients

Other Providers at the Same Location NPPES 6

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

Physical Medicine & Rehabilitation
350 PONCA PL
BOULDER, CO 80303
Acupuncturist
350 PONCA PL
BOULDER, CO 80303
Occupational Therapist
350 PONCA PL
BOULDER, CO 80303
Speech-Language Pathologist
350 PONCA PL
BOULDER, CO 80303
Family Medicine (Geriatric Medicine)
350 PONCA PL, SUITE 250
BOULDER, CO 80303
Family Medicine (Geriatric Medicine)
350 PONCA PL, SUITE 250
BOULDER, CO 80303

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 Lombillo's NPI number?

The NPI number for Nicole Lombillo is 1962275628. It was assigned to this individual provider in the NPPES registry on November 3, 2023.

Where is Nicole Lombillo located?

Nicole Lombillo practices at 350 Ponca Pl, Boulder, CO 80303. The listed phone number is (303) 499-4888.

What is Nicole Lombillo's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Nicole Lombillo enrolled in Medicare?

Yes. Nicole Lombillo 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 Lombillo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Lombillo reassigns Medicare benefits to Healthpro Heritage Rehab & Fitness, LLC (Boulder, CO). 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 Lombillo'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 Lombillo was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.