KELLY ANN YOUNG RD, CDE
NPI 1013394865
Dietitian, Registered in El Cajon, CA
About Kelly Ann Young Rd, Cde NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY ANN YOUNG RD, CDE (NPI 1013394865) is an individual dietitian, registered in El Cajon, California, licensed in California (995892) and active in the NPI registry since April 2015. She maintains a secondary practice location in El Cajon.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelly Ann Young Rd, Cde is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelly Young reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92111
- Reassigned Medicare billing, California enrollment
- 1,233 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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EL CAJON, CA 92020
EL CAJON, CA 92020
EL CAJON, CA 92020
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 Young's NPI number?
The NPI number for Kelly Young is 1013394865. It was assigned to this individual provider in the NPPES registry on April 30, 2015.
Where is Kelly Young located?
Kelly Young practices at 1380 El Cajon Blvd, El Cajon, CA 92020. The listed phone number is (858) 499-2600.
What is Kelly Young's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Kelly Young enrolled in Medicare?
Yes. Kelly Young is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelly Young's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Young reassigns Medicare benefits to Sharp Rees-Stealy Medical Group, Inc (San Diego, CA). 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 Young'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 Young was last updated on September 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Kelly Ann Young, RD, CDE · NPI 1013394865
Dietitian, Registered provider in El Cajon, California. Individual provider, active in the CMS NPPES registry since April 30, 2015.
## Identity
- **NPI:** 1013394865 (Entity type: Individual)
- **Enumerated:** April 30, 2015
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** 995892 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1380 EL CAJON BLVD, El Cajon, CA 92020-5703
- **Phone:** (858) 499-2600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Sharp Rees-Stealy Medical Group, Inc (NPI 1285616177, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 27, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1013394865) · Data from the CMS NPPES public registry.