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KELLY MICHELLE KENNELLEY RD, LDN
NPI 1083910012
Dietitian, Registered in Erie, PA

Active since February 09, 2011
100 BARBER PL, ERIE, PA 16507(814) 453-7661(814) 874-5505 Get Directions Write a Review

NPPES record last updated: February 9, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelly Michelle Kennelley Rd, Ldn NPPES

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

KELLY MICHELLE KENNELLEY RD, LDN (NPI 1083910012) is an individual dietitian, registered in Erie, Pennsylvania, licensed in Pennsylvania (DN002326) and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1083910012
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKELLY MICHELLE KENNELLEYCredential: RD, LDN
Location Address100 BARBER PLErie, PA 16507-1863
Mailing Address100 Barber PlErie, PA 16507-1863 · (814) 453-7661 · Fax (814) 874-5505
Phone(814) 453-7661
Fax(814) 874-5505
Sole ProprietorYes
Enumeration DateFebruary 9, 2011
✔ NPI 1083910012 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 PA · DN002326
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.
100 BARBER PL, Erie, PA 16507
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware 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 (PECOS)

Kelly Michelle Kennelley Rd, Ldn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Shriners Hospitals For Children
3.4 mi
Rehabilitation
1645 W 8TH ST
Erie, PA 16505
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 30 clinicians in this Medicare group
NPI 1164799789 (814) 875-8700

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

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.

DR GERTRUDE A BARBER CENTER INC
Clinic/Center
100 BARBER PL
ERIE, PA 16507
Erie County (814) 453-7661
CHELSEA COX MS OTR/L
Occupational Therapist (Pediatrics)
100 BARBER PL
ERIE, PA 16507
Erie County (814) 453-7661
LAURA ANN SMITH CCC-SLP/L
Speech-Language Pathologist
100 BARBER PL
ERIE, PA 16507
Erie County (814) 722-8481
MS. FELISA V READ PT
Clinic/Center (Physical Therapy)
100 BARBER PL
ERIE, PA 16507
Erie County (814) 845-3766
JESSICA BOSWELL
Speech-Language Pathologist
100 BARBER PL
ERIE, PA 16507
Erie County (814) 878-4022
KARRI PACILEO
Specialist
100 BARBER PL
ERIE, PA 16507
Erie County (814) 453-7661
MEGAN GWENDOLYN BONK
Physical Therapist (Pediatrics)
100 BARBER PL
ERIE, PA 16507
Erie County (814) 460-6001
DANA GRAY
Speech-Language Pathologist
100 BARBER PL
ERIE, PA 16507
Erie County (814) 453-7661

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 Kennelley's NPI number?

The NPI number for Kelly Kennelley is 1083910012. It was assigned to this individual provider in the NPPES registry on February 9, 2011.

Where is Kelly Kennelley located?

Kelly Kennelley practices at 100 Barber Pl, Erie, PA 16507. The listed phone number is (814) 453-7661.

What is Kelly Kennelley's specialty?

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

Is Kelly Kennelley enrolled in Medicare?

Yes. Kelly Kennelley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Kennelley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Kennelley reassigns Medicare benefits to Shriners Hospitals For Children (Erie, PA). 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 Kennelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Kennelley accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, AmeriHealth Caritas Next and CareSource list Kelly Kennelley 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 Kennelley was last updated on February 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.