KELLI ROBERTSON
NPI 1003417064
Dietitian, Registered in Evansville, IN

Q: 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.

Q: What is Kelli Robertson'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 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 5 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.

Active since November 05, 2020Accepts Medicare Assignment

3700 WASHINGTON AVE, EVANSVILLE, IN 47714(812) 485-4098 Get Directions Write a Review

NPPES record last updated: November 5, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

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

NPI1003417064

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameKELLI ROBERTSON

Location Address3700 WASHINGTON AVEEvansville, IN 47714-0541

Mailing Address7504 Midway DrEvansville, IN 47711-6300 · (812) 631-2784

Phone(812) 485-4098

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateNovember 5, 2020

NPPES CertifiedNovember 5, 2020

✔ NPI 1003417064 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 IN · 37002149A

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.

3700 WASHINGTON AVE, Evansville, IN 47714

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID7315350634

PECOS Enrollment IDI20210106000361

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.

New Patient

$0.00 typical visit price

range $53.07 – $161.76

Typical copayment $0.00 (range $13.26 – $40.44)

Most-billed visit code NA

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

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.

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