KELLI ROBERTSON
NPI 1003417064
Dietitian, Registered in Evansville, IN
About Kelli Robertson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLI ROBERTSON (NPI 1003417064) is an individual dietitian, registered in Evansville, Indiana, licensed in Indiana (37002149A) and active in the NPI registry since November 2020. She is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Kelli Robertson 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kelli Robertson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Evansville, IN 47750
- Reassigned Medicare billing, Indiana enrollment
- Medicare enrollment name: St Marys Medical Group LLC
- 288 clinicians in this Medicare group
Evansville, IN 47714
- Reassigned Medicare billing, Indiana enrollment
- 294 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 47714 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
EVANSVILLE, IN 47714
EVANSVILLE, IN 47714
EVANSVILLE, IN 47714
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 Kelli Robertson's NPI number?
The NPI number for Kelli Robertson is 1003417064. It was assigned to this individual provider in the NPPES registry on November 5, 2020.
Where is Kelli Robertson located?
Kelli Robertson practices at 3700 Washington Ave, Evansville, IN 47714. The listed phone number is (812) 485-4098.
What is Kelli Robertson's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Kelli Robertson enrolled in Medicare?
Yes. Kelli Robertson 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 organizations bill Medicare for Kelli Robertson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelli Robertson reassigns Medicare benefits to 2 organizations: St Mary's Medical Group, LLC (Evansville, IN) and St Vincent Pediatric Subspecialties (Evansville, IN). Each 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 Kelli Robertson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelli Robertson accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Kelli Robertson 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 Kelli Robertson was last updated on November 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Kelli Robertson · NPI 1003417064
Dietitian, Registered provider in Evansville, Indiana. Individual provider, active in the CMS NPPES registry since November 5, 2020.
## Identity
- **NPI:** 1003417064 (Entity type: Individual)
- **Enumerated:** November 5, 2020
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** 37002149A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 3700 WASHINGTON AVE, Evansville, IN 47714-0541
- **Phone:** (812) 485-4098
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): St Mary's Medical Group, LLC (NPI 1164852539, Evansville, IN); St Vincent Pediatric Subspecialties (NPI 1851950224, Evansville, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** November 5, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1003417064) · Data from the CMS NPPES public registry.