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NICOLE LEE BURNS RDN, LDN
NPI 1972386621
Dietitian, Registered in Lebanon, PA

Active since August 16, 2023
30 N 4TH ST FL 3, LEBANON, PA 17046(717) 270-7853(717) 270-2215 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 16, 2025, Sep 9, 2025, Jun 11, 2024 and 1 more (4 updates tracked since 2023).

About Nicole Lee Burns Rdn, Ldn NPPES

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

NICOLE LEE BURNS RDN, LDN (NPI 1972386621) is an individual dietitian, registered in Lebanon, Pennsylvania, licensed in Pennsylvania (DN007461) and active in the NPI registry since August 2023. She maintains 2 additional practice locations and is a graduate of Other (2021).

NPPES Registry Identity

NPI1972386621
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameNICOLE LEE BURNSCredential: RDN, LDN
Location Address30 N 4TH ST FL 3Lebanon, PA 17046-5606
Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405 · Fax (717) 851-6969
Phone(717) 270-7853
Fax(717) 270-2215
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 16, 2023
Last NPPES UpdateSeptember 16, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
✔ NPI 1972386621 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 PA · DN007461
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.
30 N 4TH ST FL 3, Lebanon, PA 17046
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Secondary Practice Locations 2

Location 163 W Church StStevens, PA 17578-9203 · Phone (717) 336-6578 · Fax (717) 336-8284
Location 2252 S 4th StLebanon, PA 17042-6111 · Phone (717) 270-7853

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Lee Burns Rdn, Ldn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436646833
PECOS Enrollment IDI20251017000793

Medicare Billing Reassignment

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

Ephrata Community Hospital
18 mi
Dietitian, Registered
69 W CHURCH ST
Stevens, PA 17578
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2 clinicians in this Medicare group
NPI 1568645448 (717) 721-8790

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

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 Burns's NPI number?

The NPI number for Nicole Burns is 1972386621. It was assigned to this individual provider in the NPPES registry on August 16, 2023.

Where is Nicole Burns located?

Nicole Burns practices at 30 N 4th St Fl 3, Lebanon, PA 17046. The listed phone number is (717) 270-7853.

What is Nicole Burns's specialty?

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

Is Nicole Burns enrolled in Medicare?

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

Which organization bills Medicare for Nicole Burns's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Burns reassigns Medicare benefits to Ephrata Community Hospital (Stevens, PA). 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 Burns'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 Burns was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.