KELLY C O'HERON RD CD
NPI 1326062415
Dietitian, Registered in Wausau, WI

Active since July 26, 2006Accepts Medicare Assignment
2720 PLAZA DR, SUITE 1300A, WAUSAU, WI 54401(715) 847-0024 Get Directions Write a Review

NPPES record last updated: February 21, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 3, 2025, Dec 27, 2024, Feb 21, 2023 (3 updates tracked since 2023).

About Kelly C O'heron Rd Cd NPPES

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

KELLY C O'HERON RD CD (NPI 1326062415) is an individual dietitian, registered in Wausau, Wisconsin, licensed in Wisconsin (1939) and active in the NPI registry since July 2006. She is affiliated with Columbus Community Hospital, maintains a secondary practice location in Columbus, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1326062415
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKELLY C O'HERONCredential: RD CD
Location Address2720 PLAZA DR, SUITE 1300AWausau, WI 54401-4158
Mailing Address3000 Westhill Dr, Suite 303Wausau, WI 54401-3795
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 26, 2006
Last NPPES UpdateFebruary 21, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2023
NPI 1326062415 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 WI · 1939
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.

2720 PLAZA DR, Wausau, WI 54401

Secondary Practice Location 1

Location 11515 Park AveColumbus, WI 53925 · Phone (920) 623-2200

Other Identifiers 1

Other490905189007WI · Anthem Bc/bs

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

Kelly C O'heron Rd Cd 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 ID446254551
PECOS Enrollment IDI20060901000334

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Columbus Community Hospital

Critical Access Hospitals · Columbus, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521338
Location1515 Park AveColumbus, WI 53925 · Columbia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54401 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 $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Obstetrics & Gynecology
2720 PLAZA DR, SUITE 2100
WAUSAU, WI 54401
Dietitian, Registered
2720 PLAZA DR, SUITE 1400
WAUSAU, WI 54401
Family Medicine
2720 PLAZA DR, SUITE 1300
WAUSAU, WI 54401
Family Medicine
2720 PLAZA DR, SUITE 1300
WAUSAU, WI 54401
Family Medicine
2720 PLAZA DR, SUITE 1300
WAUSAU, WI 54401
Family Medicine
2720 PLAZA DR, SUITE 1100
WAUSAU, WI 54401
Family Medicine
2720 PLAZA DR, SUITE 1300
WAUSAU, WI 54401
Family Medicine
2720 PLAZA DR, SUITE 1300
WAUSAU, WI 54401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326062415, enumerated as an "individual" on July 26, 2006.

The provider is located at 2720 PLAZA DR SUITE 1300A WAUSAU, WI 54401 and the phone number is (715) 847-0024.

Dietitian, Registered with taxonomy code 133V00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Security Health. Please consult your insurance carrier or call the provider to verify.

Kelly O'heron is affiliated with: COLUMBUS COMMUNITY HOSPITAL.