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KELLI STARR OLDHAM
NPI 1013641430
Dietitian, Registered in Greenville, NC

Active since July 12, 2022
98.33/100
CMS Quality Rating
503 BOWMAN GRAY DR, GREENVILLE, NC 27834(252) 816-0600(252) 816-0721 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 13, 2025, Aug 25, 2022, Jul 12, 2022 (3 updates tracked since 2022).

About Kelli Starr Oldham NPPES

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

KELLI STARR OLDHAM (NPI 1013641430) is an individual dietitian, registered in Greenville, North Carolina, licensed in North Carolina (L006181) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1013641430
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKELLI STARR OLDHAM
Location Address503 BOWMAN GRAY DRGreenville, NC 27834-7286
Mailing AddressPo Box 751069Charlotte, NC 28275-1069
Phone(252) 816-0600
Fax(252) 816-0721
Sole ProprietorNo
Enumeration DateJuly 12, 2022
Last NPPES UpdateAugust 13, 20253 updates tracked since enumeration
NPPES CertifiedAugust 13, 2025
✔ NPI 1013641430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in NC · L006181
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.
Also ListedDietitian, Registered · Nutrition, Obesity and Weight ManagementTaxonomy 133VN1201X · License L006181 (NC)
503 BOWMAN GRAY DR, Greenville, NC 27834
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Other Names 1

Former Name (1)Kelli Starr Moore

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelli Starr Oldham is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

East Carolina University
0.7 mi
Orthodontics and Dentofacial Orthopedics
1851 MACGREGOR DOWNS RD
Greenville, NC 27834
  • Reassigned Medicare billing, North Carolina enrollment
  • 930 clinicians in this Medicare group
NPI 1316324411 (252) 737-7838

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.93
Promoting Interoperability100
Improvement Activities40

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.

ASHLEY NICOLE PALDINO NP
Nurse Practitioner (Acute Care)
503 BOWMAN GRAY DR
GREENVILLE, NC 27834
Pitt County (252) 816-0600
MR. SHAWN ALAN MCCARTHY PA-C, ATC
Physician Assistant (Surgical)
503 BOWMAN GRAY DR
GREENVILLE, NC 27834
Pitt County (252) 816-4001
SHANNON WRIGHT LONGSHORE M.D.
Surgery (Pediatric Surgery)
503 BOWMAN GRAY DR
GREENVILLE, NC 27834
Pitt County (252) 816-0600
MRS. TRACY COLLINS PATERSON FNP
Nurse Practitioner (Family)
503 BOWMAN GRAY DR
GREENVILLE, NC 27834
Pitt County (252) 816-0600
DR. FRANCES CHINENYE OKOLO M.D.
Surgery
503 BOWMAN GRAY DR
GREENVILLE, NC 27834
Pitt County (252) 816-0600
COLLEEN SOLES BUCHER RDN LDN
Dietitian, Registered
503 BOWMAN GRAY DR
GREENVILLE, NC 27834
Pitt County (252) 816-0600
EVAN JONES REY DO
Surgery
503 BOWMAN GRAY DR
GREENVILLE, NC 27834
Pitt County (252) 816-0600
THOMAS BART SATTERFIELD PA-C
Physician Assistant
503 BOWMAN GRAY DR
GREENVILLE, NC 27834
Pitt County (252) 816-4001

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 Oldham's NPI number?

The NPI number for Kelli Oldham is 1013641430. It was assigned to this individual provider in the NPPES registry on July 12, 2022. The provider is also known as Kelli Starr Moore.

Where is Kelli Oldham located?

Kelli Oldham practices at 503 Bowman Gray Dr, Greenville, NC 27834. The listed phone number is (252) 816-0600.

What is Kelli Oldham's specialty?

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

Is Kelli Oldham enrolled in Medicare?

Yes. Kelli Oldham is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelli Oldham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelli Oldham reassigns Medicare benefits to East Carolina University (Greenville, NC). 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 Kelli Oldham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelli Oldham accept?

Health plans from Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of NC list Kelli Oldham 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 Oldham was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.