KELLY L DEVINE MS, RDN, LDN
NPI 1003001405
Dietitian, Registered in Mokena, IL

Q: What is Kelly Devine's NPI number?

The NPI number for Kelly Devine is 1003001405. It was assigned to this individual provider in the NPPES registry on September 9, 2007. The provider is also known as Ms. Kelly L Devine Ms Rdn Ldn.

Q: What is Kelly Devine's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Devine was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since September 09, 2007Accepts Medicare Assignment

10847 W LAPORTE, MOKENA, IL 60448(708) 608-9014(708) 377-0060 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 10, 2026, Feb 18, 2025, Mar 4, 2024 and 1 more (4 updates tracked since 2021).

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About Kelly L Devine Ms, Rdn, Ldn NPPES

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

KELLY L DEVINE MS, RDN, LDN (NPI 1003001405) is an individual dietitian, registered in Mokena, Illinois, licensed in Illinois (164.004722) and active in the NPI registry since September 2007. She maintains a secondary practice location in Palos Hills and is a graduate of Other (2006).

NPPES Registry Identity

NPI1003001405

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameKELLY L DEVINECredential: MS, RDN, LDN

Location Address10847 W LAPORTEMokena, IL 60448

Mailing Address6521 Charleston StOak Forest, IL 60452-2626 · (708) 612-0876

Phone(708) 608-9014

Fax(708) 377-0060

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateSeptember 9, 2007

Last NPPES UpdateMarch 10, 20264 updates tracked since enumeration

NPPES CertifiedMarch 10, 2026

✔ NPI 1003001405 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 IL · 164.004722

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.

10847 W LAPORTE, Mokena, IL 60448

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Other Names 1

Other Name (5)Ms. Kelly L Devine Ms Rdn Ldn

Secondary Practice Location 1

Location 19000 W College PkwyPalos Hills, IL 60465-1444 · Phone (708) 608-9014

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

Kelly L Devine Ms, Rdn, Ldn 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 ID2062502941

PECOS Enrollment IDI20240604002799

Medicare Billing Reassignment

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

Devine Nutrition Inc

11 mi

Clinic/Center

9000 W COLLEGE PKWY
Palos Hills, IL 60465

Reassigned Medicare billing, Illinois enrollment
3 clinicians in this Medicare group

NPI 1982012241 (708) 608-9014

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 60448 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 $59.81 – $181.38

Typical copayment $0.00 (range $14.95 – $45.34)

Most-billed visit code NA

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

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.

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 Kelly Devine's NPI number?

The NPI number for Kelly Devine is 1003001405. It was assigned to this individual provider in the NPPES registry on September 9, 2007. The provider is also known as Ms. Kelly L Devine Ms Rdn Ldn.

Where is Kelly Devine located?

Kelly Devine practices at 10847 W Laporte, Mokena, IL 60448. The listed phone number is (708) 608-9014.

What is Kelly Devine's specialty?

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

Is Kelly Devine enrolled in Medicare?

Yes. Kelly Devine 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 Kelly Devine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Devine reassigns Medicare benefits to Devine Nutrition Inc (Palos Hills, IL). 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 Kelly Devine'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 Kelly Devine was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.