KELSEA JOHANNA PALACE RD
NPI 1376906594
Dietitian, Registered in Camarillo, CA

Q: What is Kelsea Palace's NPI number?

The NPI number for Kelsea Palace is 1376906594. It was assigned to this individual provider in the NPPES registry on April 4, 2016. The provider is also known as Kelsea Cregut.

Q: What is Kelsea Palace's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelsea Palace was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since April 04, 2016Accepts Medicare Assignment

400 MOBIL AVE STE D9, CAMARILLO, CA 93010(805) 444-5919(805) 830-1735 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 27, 2026, Jun 11, 2019, Jun 16, 2018 and 1 more (4 updates tracked since 2017).

On this page

About Kelsea Johanna Palace Rd NPPES

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

KELSEA JOHANNA PALACE RD (NPI 1376906594) is an individual dietitian, registered in Camarillo, California, licensed in California (1036705) and active in the NPI registry since April 2016. She is a graduate of Other (2009).

NPPES Registry Identity

NPI1376906594

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameKELSEA JOHANNA PALACECredential: RD

Location Address400 MOBIL AVE STE D9Camarillo, CA 93010-6376

Mailing Address5709 Cherry Ridge DrCamarillo, CA 93012-5515 · (805) 444-5919

Phone(805) 444-5919

Fax(805) 830-1735

Sole ProprietorYes

Medical School CMSOtherGraduated 2009

Enumeration DateApril 4, 2016

Last NPPES UpdateJuly 27, 20264 updates tracked since enumeration

NPPES CertifiedJuly 27, 2026

✔ NPI 1376906594 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 CA · 1036705

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.

400 MOBIL AVE STE D9, Camarillo, CA 93010

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Other Names 1

Former Name (1)Kelsea Cregut

Other Identifiers 1

OtherCB280422CA · Medicare

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

Kelsea Johanna Palace 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 ID3577835917

PECOS Enrollment IDI20170821001700

Medicare Billing Reassignment

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

360 Nutrition Consulting Inc

Same address

Dietitian, Registered

400 MOBIL AVE STE D9
Camarillo, CA 93010

Reassigned Medicare billing, California enrollment
10 clinicians in this Medicare group

NPI 1033629175 (805) 738-5700

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 93010 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 $62.32 – $185.36

Typical copayment $0.00 (range $15.58 – $46.34)

Most-billed visit code NA

Established Patient

$108.74 typical visit price

range $20.68 – $151.85

Typical copayment $27.18 (range $5.17 – $37.96)

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 13

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

360 NUTRITION CONSULTING INC

Dietitian, Registered