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KIRSTIN NELSON RD
NPI 1417340548
Dietitian, Registered in Omak, WA

Active since March 13, 2015
638 OKOMA DR, OMAK, WA 98841(509) 826-1550(509) 826-1525 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 20, 2017, Mar 15, 2017, Oct 17, 2016 and 1 more (4 updates tracked since 2016).

About Kirstin Nelson Rd NPPES

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

KIRSTIN NELSON RD (NPI 1417340548) is an individual dietitian, registered in Omak, Washington and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1417340548
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKIRSTIN NELSONCredential: RD
Location Address638 OKOMA DROmak, WA 98841-9525
Mailing AddressPo Box 3054Omak, WA 98841-3054 · (509) 826-1550 · Fax (509) 826-1525
Phone(509) 826-1550
Fax(509) 826-1525
Sole ProprietorNo
Enumeration DateMarch 13, 2015
Last NPPES UpdateMay 29, 20244 updates tracked since enumeration
NPPES CertifiedMay 29, 2024
✔ NPI 1417340548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
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.
638 OKOMA DR, Omak, WA 98841
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Other Identifiers 1

Medicaid175417AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kirstin Nelson Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Northern Arizona Healthcare Corporation
996 mi
Family Medicine
1200 N. BEAVER STREET, ATTN: PAYER CREDENTIALING
Flagstaff, AZ 86001
  • Reassigned Medicare billing, Arizona enrollment
  • 552 clinicians in this Medicare group
NPI 1669914552 (928) 773-2546

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

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

RONEE BUCHERT SLP
Speech-Language Pathologist
638 OKOMA DR
OMAK, WA 98841
Okanogan County (509) 846-9565
BRIANNA SULLIVAN PTA
Physical Therapy Assistant
638 OKOMA DR
OMAK, WA 98841
Okanogan County (509) 826-1550
SARAH DAWN RICHEY OTR/L
Occupational Therapist (Pediatrics)
638 OKOMA DR
OMAK, WA 98841
Okanogan County (509) 429-0399

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 Kirstin Nelson's NPI number?

The NPI number for Kirstin Nelson is 1417340548. It was assigned to this individual provider in the NPPES registry on March 13, 2015.

Where is Kirstin Nelson located?

Kirstin Nelson practices at 638 Okoma Dr, Omak, WA 98841. The listed phone number is (509) 826-1550.

What is Kirstin Nelson's specialty?

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

Is Kirstin Nelson enrolled in Medicare?

Yes. Kirstin Nelson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kirstin Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kirstin Nelson reassigns Medicare benefits to Northern Arizona Healthcare Corporation (Flagstaff, AZ). 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 Kirstin Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kirstin Nelson accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Premera Blue Cross Blue Shield of Alaska list Kirstin Nelson 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 Kirstin Nelson was last updated on May 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.