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KELLY BETH CSOM RD, CDE
NPI 1427362227
Dietitian, Registered in Three Rivers, MI

Active since August 04, 2010
701 S HEALTH PKWY, THREE RIVERS, MI 49093(269) 278-1145 Get Directions Write a Review

NPPES record last updated: August 4, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kelly Beth Csom Rd, Cde NPPES

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

KELLY BETH CSOM RD, CDE (NPI 1427362227) is an individual dietitian, registered in Three Rivers, Michigan and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1427362227
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKELLY BETH CSOMCredential: RD, CDE
Location Address701 S HEALTH PKWYThree Rivers, MI 49093-8352
Mailing Address701 S Health PkwyThree Rivers, MI 49093-8352 · (269) 278-1145
Phone(269) 278-1145
Sole ProprietorNo
Enumeration DateAugust 4, 2010
✔ NPI 1427362227 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.
701 S HEALTH PKWY, Three Rivers, MI 49093
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Beth Csom Rd, Cde is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Andala Medical Texas PA
1,116 mi
Psychiatry
4600 LOCKHILL SELMA RD STE 108
San Antonio, TX 78249
  • Reassigned Medicare billing, Texas enrollment
  • 15 clinicians in this Medicare group
NPI 1386224137 (210) 862-7246

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 20

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

KELLEY C CAMPBELL FNP-C
Nurse Practitioner (Family)
701 S HEALTH PKWY
THREE RIVERS, MI 49093
St. Joseph County (269) 278-1145
ANDREA TIDY-CLARISA ALLMAN D.O.
Emergency Medicine
701 S HEALTH PKWY
THREE RIVERS, MI 49093
St. Joseph County (269) 273-9789
ELIZABETH PALMER
Dietitian, Registered
701 S HEALTH PKWY
THREE RIVERS, MI 49093
St. Joseph County (269) 278-1145
MS. LAUREN MARGUERITE VANDENBERG PA-C
Physician Assistant (Surgical)
701 S HEALTH PKWY
THREE RIVERS, MI 49093
St. Joseph County (269) 278-1145
MRS. DURGA DEVAKI MOTHUKURU
Physical Therapist
701 S HEALTH PKWY
THREE RIVERS, MI 49093
St. Joseph County (269) 278-1145
REBECCA ALLEN JONES ADULT NP
Nurse Practitioner (Adult Health)
701 S HEALTH PKWY
THREE RIVERS, MI 49093
St. Joseph County (269) 278-1145
THREE RIVERS HEALTH NUTRITIONAL SERVICES
Dietitian, Registered
701 S HEALTH PKWY
THREE RIVERS, MI 49093
St. Joseph County (269) 278-1145
KARAN L THOMAS FNP
Nurse Practitioner
701 S HEALTH PKWY
THREE RIVERS, MI 49093
St. Joseph County (269) 278-1145

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 Csom's NPI number?

The NPI number for Kelly Csom is 1427362227. It was assigned to this individual provider in the NPPES registry on August 4, 2010.

Where is Kelly Csom located?

Kelly Csom practices at 701 S Health Pkwy, Three Rivers, MI 49093. The listed phone number is (269) 278-1145.

What is Kelly Csom's specialty?

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

Is Kelly Csom enrolled in Medicare?

Yes. Kelly Csom is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Csom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Csom reassigns Medicare benefits to Andala Medical Texas PA (San Antonio, TX). 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 Csom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Csom accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and WellPoint list Kelly Csom 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 Csom was last updated on August 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.