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MRS. KELLY WYNNE MINARICK RD, RDN, LDN
NPI 1073251724
Dietitian, Registered in Lisle, IL

Active since May 23, 2022Accepts Medicare Assignment
650 WARRENVILLE RD STE 100, LISLE, IL 60532(847) 318-3013(833) 290-5413 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Kelly Wynne Minarick Rd, Rdn, Ldn NPPES

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

MRS. KELLY WYNNE MINARICK RD, RDN, LDN (NPI 1073251724) is an individual dietitian, registered in Lisle, Illinois, licensed in Illinois (164.007272) and active in the NPI registry since May 2022. She maintains a secondary practice location in Dallas and is a graduate of Other (2017).

NPPES Registry Identity

NPI1073251724
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMRS. KELLY WYNNE MINARICKCredential: RD, RDN, LDN
Location Address650 WARRENVILLE RD STE 100Lisle, IL 60532-4315
Mailing Address17060 Dallas Pkwy Ste 112Dallas, TX 75248-1905 · (469) 372-2022 · Fax (833) 290-5413
Phone(847) 318-3013
Fax(833) 290-5413
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMay 23, 2022
Last NPPES UpdateMarch 21, 2024
NPPES CertifiedMarch 21, 2024
✔ NPI 1073251724 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 IL · 164.007272
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.
650 WARRENVILLE RD STE 100, Lisle, IL 60532
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Secondary Practice Location 1

Location 117060 Dallas Pkwy Ste 112Dallas, TX 75248-1905 · Phone (469) 372-2022 · Fax (833) 290-5413

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company.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

Mrs. Kelly Wynne Minarick Rd, Rdn, Ldn 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 ID9335586783
PECOS Enrollment IDI20240321001982

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60532 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 $59.81 – $181.38
Typical copayment $0.00 (range $14.95 – $45.34)
Most-billed visit code NA
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TEAM FOCUS COUNSELING LLC
Counselor (Professional)
650 WARRENVILLE RD STE 100
LISLE, IL 60532
Dupage County (331) 215-9076
FRANCES COLLEY LCPC
Counselor (Mental Health)
650 WARRENVILLE RD STE 100
LISLE, IL 60532
Dupage County (331) 215-9076
JOVONDA MCCALL
Technician, Pathology (Phlebotomy)
650 WARRENVILLE RD STE 100
LISLE, IL 60532
Dupage County (800) 523-4248
ALISHA A MACAS RD
Dietitian, Registered
650 WARRENVILLE RD STE 100
LISLE, IL 60532
Dupage County (847) 318-3013
NATALIE RENEE LARSEN RDN, LDN
Dietitian, Registered
650 WARRENVILLE RD STE 100
LISLE, IL 60532
Dupage County (847) 318-3013
COACHERAPY LLC
Counselor (Professional)
650 WARRENVILLE RD STE 100
LISLE, IL 60532
Dupage County (313) 290-0315
PAIGE ROBINSON RDN
Dietitian, Registered
650 WARRENVILLE RD STE 100
LISLE, IL 60532
Dupage County (469) 421-8705
SWIFT LABS SOLUTIONS LLC
Clinical Medical Laboratory
650 WARRENVILLE RD STE 100
LISLE, IL 60532
Dupage County (800) 523-4248

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 Minarick's NPI number?

The NPI number for Kelly Minarick is 1073251724. It was assigned to this individual provider in the NPPES registry on May 23, 2022.

Where is Kelly Minarick located?

Kelly Minarick practices at 650 Warrenville Rd Ste 100, Lisle, IL 60532. The listed phone number is (847) 318-3013.

What is Kelly Minarick's specialty?

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

Is Kelly Minarick enrolled in Medicare?

Yes. Kelly Minarick 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.

What insurance does Kelly Minarick accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and Oscar Insurance Company list Kelly Minarick 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 Minarick was last updated on March 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.