KRISTINA STICKLEY RDN, LD, CHES
NPI 1154944288
Dietitian, Registered in Idaho Falls, ID

Q: What is Kristina Stickley's NPI number?

The NPI number for Kristina Stickley is 1154944288. It was assigned to this individual provider in the NPPES registry on May 22, 2020.

Q: What is Kristina Stickley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kristina Stickley was last updated on May 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since May 22, 2020Accepts Medicare Assignment

3100 CHANNING WAY, IDAHO FALLS, ID 83404(208) 529-6111 Get Directions Write a Review

NPPES record last updated: May 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Kristina Stickley Rdn, Ld, Ches NPPES

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

KRISTINA STICKLEY RDN, LD, CHES (NPI 1154944288) is an individual dietitian, registered in Idaho Falls, Idaho, licensed in Idaho (D-1127) and active in the NPI registry since May 2020. She is a graduate of Other (2019).

NPPES Registry Identity

NPI1154944288

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameKRISTINA STICKLEYCredential: RDN, LD, CHES

Location Address3100 CHANNING WAYIdaho Falls, ID 83404-7533

Mailing Address3635 Silverstone DrIdaho Falls, ID 83401-3583

Phone(208) 529-6111

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMay 22, 2020

NPPES CertifiedMay 22, 2020

✔ NPI 1154944288 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 ID · D-1127

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.

3100 CHANNING WAY, Idaho Falls, ID 83404

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, PacificSource Health Plans, Providence Health Plan 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 and accepts Medicare assignment

Kristina Stickley Rdn, Ld, Ches 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 ID8325412935

PECOS Enrollment IDI20230322001967

Medicare Billing Reassignment

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

Idaho Falls Community Hospital LLC

0.4 mi

General Acute Care Hospital

2327 CORONADO ST
Idaho Falls, ID 83404

Reassigned Medicare billing, Idaho enrollment
19 clinicians in this Medicare group

NPI 1114481447 (208) 528-1000

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure for nutrition management, each 15 minutes 97802

This is a 15-minute session focused on managing your nutrition. A professional will assess your dietary habits and provide personalized advice to improve your health. It can help manage weight, control chronic diseases, and promote overall wellbeing.

46 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83404 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 $52.44 – $160.17

Typical copayment $0.00 (range $13.11 – $40.04)

Most-billed visit code NA

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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 20

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

CARL SAMUEL BRAYTON DO

Student in an Organized Health Care Education/Training Program