KELLI SHEBBY RD, LD
NPI 1073903662
Dietitian, Registered in Austin, TX
About Kelli Shebby Rd, Ld NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLI SHEBBY RD, LD (NPI 1073903662) is an individual dietitian, registered in Austin, Texas, licensed in Texas (DT83395) and active in the NPI registry since February 2015. She is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelli Shebby Rd, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelli Shebby reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Coral Gables, FL 33134
- Reassigned Medicare billing, Michigan enrollment
- 9 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.
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 Shebby's NPI number?
The NPI number for Kelli Shebby is 1073903662. It was assigned to this individual provider in the NPPES registry on February 3, 2015.
Where is Kelli Shebby located?
Kelli Shebby practices at 9512 Beechnut Dr, Austin, TX 78748. The listed phone number is (215) 510-2161.
What is Kelli Shebby's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Kelli Shebby enrolled in Medicare?
Yes. Kelli Shebby is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelli Shebby's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelli Shebby reassigns Medicare benefits to Rewind Medical, PC (Coral Gables, 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 Kelli Shebby'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 Kelli Shebby was last updated on April 27, 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.
# Kelli Shebby, RD, LD · NPI 1073903662
Dietitian, Registered provider in Austin, Texas. Individual provider, active in the CMS NPPES registry since February 3, 2015.
## Identity
- **NPI:** 1073903662 (Entity type: Individual)
- **Enumerated:** February 3, 2015
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** DT83395 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 9512 BEECHNUT DR, Austin, TX 78748-2247
- **Phone:** (215) 510-2161
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Rewind Medical, PC (NPI 1811608292, Coral Gables, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** April 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1073903662) · Data from the CMS NPPES public registry.