NICOLE KUMKE (RDN) – Registered Dietitian, NPI 1871720615
Registered Dietitian
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
123 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in IN
Provider Addresses for NICOLE KUMKE (RDN)
761 45TH ST STE 110
MUNSTER, IN 463212899
Phone: (219) 922-3020
Fax: (219) 922-3023
Type: Location
PO BOX 781076
DETROIT, MI 482781076
Phone: (317) 528-4800
Fax: (317) 865-1479
Type: Mailing
17800 S. KEDZIE AVE
#231
MAZEL, IL 60429
Phone: (708) 763-6951
Type: Mailing
3 Erie Ct
L300
Oak Park, IL 603022519
Phone: (708) 763-6951
Type: Location
West Suburban Medical Center, 3, Erie Court, Ridgeland, Oak Park, Cook County, Illinois, 60302, United States
OAK PARK, IL 603022519
Phone: (708) 763-6951
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-01-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230109001870 | I | Registered Dietitian Or Nutrition Professional | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97802 | Therapy procedure for nutrition management, each 15 minutes | 143 | 35 | $0 |
| 97803 | Therapy procedure reassessment for nutrition management, each 15 minutes | 49 | 12 | $0 |
Insurance plans in this area (ZIP 46321)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| - | IN | |
| - | IN | |
| - | MI | |
| - | IN | |
| - | IN | |
| Family Practice | IN | |
| - | MI | |
| Internal Medicine | IN | |
| Internal Medicine, Emergency Medicine | MI |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.