KELLY SORACCO RDN
NPI 1407466766
Dietitian, Registered in Fort Wayne, IN

Active since August 03, 2020Accepts Medicare Assignment
81.23/100
CMS Quality Rating
1234 E DUPONT RD STE 3, FORT WAYNE, IN 46825(260) 425-5970 Get Directions Write a Review

NPPES record last updated: August 31, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 31, 2020, Aug 3, 2020 (2 updates tracked since 2020).

About Kelly Soracco Rdn NPPES

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

KELLY SORACCO RDN (NPI 1407466766) is an individual dietitian, registered in Fort Wayne, Indiana, licensed in Indiana (37001137A) and active in the NPI registry since August 2020. She is a graduate of Other (1999).

NPPES Registry Identity

NPI1407466766
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKELLY SORACCOCredential: RDN
Location Address1234 E DUPONT RD STE 3Fort Wayne, IN 46825-1545
Mailing Address11109 Parkview Plaza Drive, Mailbox 117Fort Wayne, IN 46845-1701 · (260) 266-8210
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateAugust 3, 2020
Last NPPES UpdateAugust 31, 20202 updates tracked since enumeration
NPPES CertifiedAugust 31, 2020
NPI 1407466766 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 IN · 37001137A
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.
1234 E DUPONT RD STE 3, Fort Wayne, IN 46825

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 Soracco Rdn 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 ID8527486372
PECOS Enrollment IDI20200911000302

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46825 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 $53.07 – $161.76
Typical copayment $0.00 (range $13.26 – $40.44)
Most-billed visit code NA
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.95
Promoting Interoperability100
Improvement Activities40
Cost68.49

Other Providers at the Same Location NPPES 14

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

Nurse Practitioner
1234 E DUPONT RD STE 3
FORT WAYNE, IN 46825
Nurse Practitioner
1234 E DUPONT RD STE 3
FORT WAYNE, IN 46825
Nurse Practitioner
1234 E DUPONT RD STE 3
FORT WAYNE, IN 46825
Nurse Practitioner
1234 E DUPONT RD STE 3
FORT WAYNE, IN 46825
Obstetrics & Gynecology
1234 E DUPONT RD STE 3
FORT WAYNE, IN 46825
Nurse Practitioner
1234 E DUPONT RD STE 3
FORT WAYNE, IN 46825
Family Medicine
1234 E DUPONT RD STE 3
FORT WAYNE, IN 46825
Physician Assistant
1234 E DUPONT RD STE 3
FORT WAYNE, IN 46825

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 Soracco's NPI number?

The NPI number for Kelly Soracco is 1407466766. It was assigned to this individual provider in the NPPES registry on August 3, 2020.

Where is Kelly Soracco located?

Kelly Soracco practices at 1234 E Dupont Rd Ste 3, Fort Wayne, IN 46825. The listed phone number is (260) 425-5970.

What is Kelly Soracco's specialty?

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

Is Kelly Soracco enrolled in Medicare?

Yes. Kelly Soracco 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.

What insurance does Kelly Soracco accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Kelly Soracco as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Soracco was last updated on August 31, 2020. 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.