KAELA PIVNICK RD
NPI 1215479209
Dietitian, Registered in Yelm, WA

Active since November 08, 2016Accepts Medicare Assignment
201 TAHOMA BLVD, STE 207, YELM, WA 98597(360) 458-6400(360) 458-6444 Get Directions Write a Review

NPPES record last updated: November 9, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kaela Pivnick Rd NPPES

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

KAELA PIVNICK RD (NPI 1215479209) is an individual dietitian, registered in Yelm, Washington, licensed in Washington (DI60650422) and active in the NPI registry since November 2016. She is a graduate of Other (2019).

NPPES Registry Identity

NPI1215479209
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKAELA PIVNICKCredential: RD
Location Address201 TAHOMA BLVD, STE 207Yelm, WA 98597-7735
Mailing Address790 Remington BlvdBolingbrook, IL 60440-4909 · (630) 296-2222 · Fax (630) 759-9510
Fax(360) 458-6444
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 8, 2016
Last NPPES UpdateNovember 9, 2016
NPI 1215479209 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 WA · DI60650422
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.
201 TAHOMA BLVD, Yelm, WA 98597

Accepted 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

Kaela Pivnick Rd 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 ID749567790
PECOS Enrollment IDI20220804002593

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98597 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 $57.27 – $172.80
Typical copayment $0.00 (range $14.31 – $43.20)
Most-billed visit code NA
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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 16

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

Nurse Practitioner (Family)
201 TAHOMA BLVD, SUITE 102
YELM, WA 98597
Family Medicine
201 TAHOMA BLVD, SUITE 102
YELM, WA 98597
Physical Therapist
201 TAHOMA BLVD, STE 207
YELM, WA 98597
Physical Therapist
201 TAHOMA BLVD, STE 207
YELM, WA 98597
Emergency Medicine
201 TAHOMA BLVD, SUITE 102
YELM, WA 98597
Physical Therapist
201 TAHOMA BLVD, SUITE 207
YELM, WA 98597
Family Medicine
201 TAHOMA BLVD, SUITE 102
YELM, WA 98597
Family Medicine
201 TAHOMA BLVD, SUITE 102
YELM, WA 98597

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 Kaela Pivnick's NPI number?

The NPI number for Kaela Pivnick is 1215479209. It was assigned to this individual provider in the NPPES registry on November 8, 2016.

Where is Kaela Pivnick located?

Kaela Pivnick practices at 201 Tahoma Blvd Ste 207, Yelm, WA 98597. The listed phone number is (360) 458-6400.

What is Kaela Pivnick's specialty?

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

Is Kaela Pivnick enrolled in Medicare?

Yes. Kaela Pivnick 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 Kaela Pivnick accept?

Health plans from Blue Cross and Blue Shield of Texas, BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon and UnitedHealthcare list Kaela Pivnick 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 Kaela Pivnick was last updated on November 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.