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MRS. KELLY NICOLE DERWICK RDN, LN
NPI 1033715727
Dietitian, Registered in Cape Coral, FL

Active since December 08, 2020Accepts Medicare Assignment
119 SE 39TH ST, CAPE CORAL, FL 33904(239) 910-3871 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 4, 2026, Feb 25, 2021, Dec 9, 2020 (3 updates tracked since 2020).

About Mrs. Kelly Nicole Derwick Rdn, Ln NPPES

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

MRS. KELLY NICOLE DERWICK RDN, LN (NPI 1033715727) is an individual dietitian, registered in Cape Coral, Florida, licensed in Florida (10167) and active in the NPI registry since December 2020. She maintains a secondary practice location in Port Charlotte and is a graduate of Other (2019).

NPPES Registry Identity

NPI1033715727
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMRS. KELLY NICOLE DERWICKCredential: RDN, LN
Location Address119 SE 39TH STCape Coral, FL 33904
Mailing Address119 Se 39th StCape Coral, FL 33904-8338 · (239) 910-3871
Phone(239) 910-3871
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 8, 2020
Last NPPES UpdateMay 4, 20263 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
✔ NPI 1033715727 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 FL · 10167
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.
119 SE 39TH ST, Cape Coral, FL 33904
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Other Names 1

Former Name (1)Ms. Kelly Nicole Esterline Rdn, Ln

Secondary Practice Location 1

Location 12852 Tamiami Trl Ste 1Port Charlotte, FL 33952-5100 · Phone (941) 505-8720

Other Identifiers 1

Other10167FL · Florida Department Of Health

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Mrs. Kelly Nicole Derwick Rdn, Ln 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 ID840739462
PECOS Enrollment IDI20240827004559

Medicare Billing Reassignment

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

Florida Kidney Physicians, LLC
35 mi
Nephrology
18669 TAMIAMI TRAIL
North Port, FL 34287
  • Reassigned Medicare billing, Florida enrollment
  • 210 clinicians in this Medicare group
NPI 1558037028 (941) 505-8720

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure for nutrition management, each 15 minutes 97802
This is a 15-minute session focused on managing your nutrition. A professional will assess your dietary habits and provide personalized advice to improve your health. It can help manage weight, control chronic diseases, and promote overall wellbeing.
55 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33904 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 $58.56 – $179.05
Typical copayment $0.00 (range $14.64 – $44.76)
Most-billed visit code NA
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 Derwick's NPI number?

The NPI number for Kelly Derwick is 1033715727. It was assigned to this individual provider in the NPPES registry on December 8, 2020. The provider is also known as Ms. Kelly Nicole Esterline Rdn, Ln.

Where is Kelly Derwick located?

Kelly Derwick practices at 119 SE 39th St, Cape Coral, FL 33904. The listed phone number is (239) 910-3871.

What is Kelly Derwick's specialty?

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

Is Kelly Derwick enrolled in Medicare?

Yes. Kelly Derwick 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 Derwick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Derwick reassigns Medicare benefits to Florida Kidney Physicians, LLC (North Port, FL). 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 Derwick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Derwick accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and Oscar Health Maintenance Organization of Florida and 1 other insurer list Kelly Derwick 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 Kelly Derwick was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.