SHELLY DEHAAN RD
NPI 1245769660
Dietitian, Registered in Middletown, NY
About Shelly Dehaan Rd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHELLY DEHAAN RD (NPI 1245769660) is an individual dietitian, registered in Middletown, New York, licensed in Illinois (717426) and active in the NPI registry since June 2017. She is a graduate of Other (2017).
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 and accepts Medicare assignment
Shelly Dehaan 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.
Medicare Billing Reassignment
Medicare enrollment records show Shelly Dehaan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Middletown, NY 10940
- Reassigned Medicare billing, New York enrollment
- 281 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10940 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10940
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 Shelly Dehaan's NPI number?
The NPI number for Shelly Dehaan is 1245769660. It was assigned to this individual provider in the NPPES registry on June 8, 2017.
Where is Shelly Dehaan located?
Shelly Dehaan practices at 707 East Main Street Orange Regional Medical Center, Middletown, NY 10940. The listed phone number is (845) 333-2705.
What is Shelly Dehaan's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Shelly Dehaan enrolled in Medicare?
Yes. Shelly Dehaan 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.
Which organization bills Medicare for Shelly Dehaan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shelly Dehaan reassigns Medicare benefits to Middletown Medical PC (Middletown, NY). 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 Shelly Dehaan'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 Shelly Dehaan was last updated on June 8, 2017. 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.
# Shelly Dehaan, RD · NPI 1245769660
Dietitian, Registered provider in Middletown, New York. Individual provider, active in the CMS NPPES registry since June 8, 2017.
## Identity
- **NPI:** 1245769660 (Entity type: Individual)
- **Enumerated:** June 8, 2017
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** 717426 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 707 EAST MAIN STREET, ORANGE REGIONAL MEDICAL CENTER, Middletown, NY 10940
- **Phone:** (845) 333-2705
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Middletown Medical PC (NPI 1902855828, Middletown, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** June 8, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1245769660) · Data from the CMS NPPES public registry.