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MRS. KELLY JEAN DUNCOMBE RD, LDN
NPI 1336801810
Dietitian, Registered in Libertyville, IL

Active since October 12, 2021Accepts Medicare Assignment
1010 W GOLF RD, LIBERTYVILLE, IL 60048(847) 875-7032 Get Directions Write a Review

NPPES record last updated: October 12, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Kelly Jean Duncombe Rd, Ldn NPPES

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

MRS. KELLY JEAN DUNCOMBE RD, LDN (NPI 1336801810) is an individual dietitian, registered in Libertyville, Illinois, licensed in Illinois (164004344) and active in the NPI registry since October 2021. She is a graduate of Other (2003).

NPPES Registry Identity

NPI1336801810
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMRS. KELLY JEAN DUNCOMBECredential: RD, LDN
Location Address1010 W GOLF RDLibertyville, IL 60048-3054
Mailing Address1010 W Golf RdLibertyville, IL 60048-3054 · (847) 875-7032
Phone(847) 875-7032
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateOctober 12, 2021
NPPES CertifiedOctober 12, 2021
✔ NPI 1336801810 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 IL · 164004344
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.
1010 W GOLF RD, Libertyville, IL 60048
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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

Mrs. Kelly Jean Duncombe Rd, Ldn 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 ID8426401951
PECOS Enrollment IDI20240131002076

Medicare Billing Reassignment

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

Health Loft PLLC
30 mi
Dietitian, Registered
2027 W DIVISION ST # 120
Chicago, IL 60622
  • Reassigned Medicare billing, Illinois enrollment
  • 15 clinicians in this Medicare group
NPI 1912461799 (855) 552-5557

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 60048 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 $59.81 – $181.38
Typical copayment $0.00 (range $14.95 – $45.34)
Most-billed visit code NA
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

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 Kelly Duncombe's NPI number?

The NPI number for Kelly Duncombe is 1336801810. It was assigned to this individual provider in the NPPES registry on October 12, 2021.

Where is Kelly Duncombe located?

Kelly Duncombe practices at 1010 W Golf Rd, Libertyville, IL 60048. The listed phone number is (847) 875-7032.

What is Kelly Duncombe's specialty?

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

Is Kelly Duncombe enrolled in Medicare?

Yes. Kelly Duncombe 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 Kelly Duncombe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Duncombe reassigns Medicare benefits to Health Loft PLLC (Chicago, IL). 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 Kelly Duncombe'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 Kelly Duncombe was last updated on October 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.