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TRACY MCKELVEY RD
NPI 1053089946
Dietitian, Registered in Irvine, CA

Active since September 03, 2021
76.74/100
CMS Quality Rating
19722 MACARTHUR BLVD, IRVINE, CA 92612(949) 824-8770 Get Directions Write a Review

NPPES record last updated: September 3, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tracy Mckelvey Rd NPPES

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

TRACY MCKELVEY RD (NPI 1053089946) is an individual dietitian, registered in Irvine, California, licensed in California (819517) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1053089946
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameTRACY MCKELVEYCredential: RD
Location Address19722 MACARTHUR BLVDIrvine, CA 92612-2404
Mailing Address18735 Fairfax LnHuntington Beach, CA 92648-7018 · (714) 915-1539
Phone(949) 824-8770
Sole ProprietorYes
Enumeration DateSeptember 3, 2021
NPPES CertifiedSeptember 3, 2021
✔ NPI 1053089946 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 CA · 819517
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.
19722 MACARTHUR BLVD, Irvine, CA 92612
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracy Mckelvey Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Memorialcare Medical Foundation
6.5 mi
Clinic/Center
17360 BROOKHURST ST
Fountain Valley, CA 92708
  • Reassigned Medicare billing, California enrollment
  • 948 clinicians in this Medicare group
NPI 1205167350 (877) 696-3622

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.

76.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.94
Promoting Interoperability78
Improvement Activities40
Cost55.12

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.

HYEJIN CHO RD
Dietitian, Registered
19722 MACARTHUR BLVD
IRVINE, CA 92612
Orange County (714) 456-8888
DR. JEAN GEHRICKE PH.D.
Psychologist (Clinical)
19722 MACARTHUR BLVD
IRVINE, CA 92612
Orange County (949) 212-1668
MS. AUDREY DOROTHY KAPELINSKI LCSW
Social Worker (Clinical)
19722 MACARTHUR BLVD
IRVINE, CA 92612
Orange County (949) 824-1819
UCI PSYCH PRACTICE GROUP
Psychiatry & Neurology (Psychiatry)
19722 MACARTHUR BLVD
IRVINE, CA 92612
Orange County (949) 824-1283
DR. THOMAS WARNER HUDSON III MD
Family Medicine
19722 MACARTHUR BLVD
IRVINE, CA 92612
Orange County (949) 824-8641
DR. SHARON B WIGAL PH.D
Psychologist (Clinical)
19722 MACARTHUR BLVD
IRVINE, CA 92612
Orange County (949) 824-1833
MRS. NATALIA ULLRICH REGISTERED DIETITIAN
Dietitian, Registered
19722 MACARTHUR BLVD
IRVINE, CA 92612
Orange County (949) 824-4764
DR. MARION JOSEPH FEDORUK MD
Preventive Medicine (Occupational Medicine)
19722 MACARTHUR BLVD
IRVINE, CA 92612
Orange County (949) 824-8641

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 Tracy Mckelvey's NPI number?

The NPI number for Tracy Mckelvey is 1053089946. It was assigned to this individual provider in the NPPES registry on September 3, 2021.

Where is Tracy Mckelvey located?

Tracy Mckelvey practices at 19722 Macarthur Blvd, Irvine, CA 92612. The listed phone number is (949) 824-8770.

What is Tracy Mckelvey's specialty?

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

Is Tracy Mckelvey enrolled in Medicare?

Yes. Tracy Mckelvey is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tracy Mckelvey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Mckelvey reassigns Medicare benefits to Memorialcare Medical Foundation (Fountain Valley, 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 Tracy Mckelvey'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 Tracy Mckelvey was last updated on September 3, 2021. 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.