PRESCRIPTIVE NUTRITION, LLC
NPI 1285040386
Nutritionist in Russellville, AR
About Prescriptive Nutrition, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRESCRIPTIVE NUTRITION, LLC (NPI 1285040386) is a healthcare organization registered as a nutritionist in Russellville, Arkansas and active in the NPI registry since July 2014. The organization lists Gina Anne Kersh, Registered Dietitian, Nutritionist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Prescriptive Nutrition, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Prescriptive Nutrition, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Prescriptive Nutrition, LLC's NPI number?
The NPI number for Prescriptive Nutrition, LLC is 1285040386. It was assigned to this organization in the NPPES registry on July 9, 2014.
Where is Prescriptive Nutrition, LLC located?
Prescriptive Nutrition, LLC is located at 3205 W Main St, Russellville, AR 72801. The listed phone number is (479) 651-8547.
What is Prescriptive Nutrition, LLC's specialty?
The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.
Is Prescriptive Nutrition, LLC enrolled in Medicare?
Yes. Prescriptive Nutrition, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Prescriptive Nutrition, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Prescriptive Nutrition, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Prescriptive Nutrition, LLC was last updated on August 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Prescriptive Nutrition, Llc · NPI 1285040386
Nutritionist organization in Russellville, Arkansas. Organization record, active in the CMS NPPES registry since July 9, 2014.
## Identity
- **NPI:** 1285040386 (Entity type: Organization)
- **Enumerated:** July 9, 2014
- **Primary specialty:** Nutritionist · taxonomy 133N00000X
- **Organization subpart:** No
- **Authorized official:** Gina Kersh, REGISTERED DIETITIAN, NUTRITIONIST
## Practice location
- **Address:** 3205 W MAIN ST, Russellville, AR 72801-2301
- **Phone:** (479) 651-8547
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Registered Dietitian or Nutrition Professional) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 15, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1285040386) · Data from the CMS NPPES public registry.