CLISTY SHANNON KINLIN RD, CDE
NPI 1093816688
Dietitian, Registered in Howell, MI
About Clisty Shannon Kinlin Rd, Cde NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLISTY SHANNON KINLIN RD, CDE (NPI 1093816688) is an individual dietitian, registered in Howell, Michigan and active in the NPI registry since September 2006.
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)
Clisty Shannon Kinlin Rd, Cde is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Clisty Kinlin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ypsilanti, MI 48197
- Reassigned Medicare billing, Michigan enrollment
- 180 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.
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.
HOWELL, MI 48843
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 Clisty Kinlin's NPI number?
The NPI number for Clisty Kinlin is 1093816688. It was assigned to this individual provider in the NPPES registry on September 26, 2006.
Where is Clisty Kinlin located?
Clisty Kinlin practices at 620 Byron Rd, Howell, MI 48843. The listed phone number is (517) 545-6828.
What is Clisty Kinlin's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Clisty Kinlin enrolled in Medicare?
Yes. Clisty Kinlin is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Clisty Kinlin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Clisty Kinlin reassigns Medicare benefits to St Joseph Mercy Hospital (Ypsilanti, MI). 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 Clisty Kinlin'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 Clisty Kinlin was last updated on November 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Clisty Shannon Kinlin, RD, CDE · NPI 1093816688
Dietitian, Registered provider in Howell, Michigan. Individual provider, active in the CMS NPPES registry since September 26, 2006.
## Identity
- **NPI:** 1093816688 (Entity type: Individual)
- **Enumerated:** September 26, 2006
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 620 BYRON RD, Howell, MI 48843-1002
- **Phone:** (517) 545-6828
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** St Joseph Mercy Hospital (NPI 1932228590, Ypsilanti, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 18, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1093816688) · Data from the CMS NPPES public registry.