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BRINSLEY JOALLEN KUBIAK MS, RDN, LDN
NPI 1457031551
Dietitian, Registered in Chicago, IL

Active since July 24, 2023Accepts Medicare Assignment
343 W WOLF POINT PLZ UNIT 2502, CHICAGO, IL 60654(616) 402-7390 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Brinsley Joallen Kubiak Ms, Rdn, Ldn NPPES

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

BRINSLEY JOALLEN KUBIAK MS, RDN, LDN (NPI 1457031551) is an individual dietitian, registered in Chicago, Illinois, licensed in Michigan (86153070) and active in the NPI registry since July 2023. She is a graduate of Other (2020).

NPPES Registry Identity

NPI1457031551
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameBRINSLEY JOALLEN KUBIAKCredential: MS, RDN, LDN
Location Address343 W WOLF POINT PLZ UNIT 2502Chicago, IL 60654-0105
Mailing Address343 W Wolf Point Plz Unit 2502Chicago, IL 60654-0105
Phone(616) 402-7390
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 24, 2023
NPPES CertifiedJuly 23, 2023
✔ NPI 1457031551 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 MI · 86153070
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.
343 W WOLF POINT PLZ UNIT 2502, Chicago, IL 60654
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Brinsley Joallen Kubiak Ms, Rdn, 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 ID1951845544
PECOS Enrollment IDI20240708001618

Medicare Billing Reassignment

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

Revolution Ptwl LLC
0.9 mi
Physical Therapist
845 N MICHIGAN AVE, SUITE 973W
Chicago, IL 60611
  • Reassigned Medicare billing, Illinois enrollment
  • 77 clinicians in this Medicare group
NPI 1164766606 (312) 878-8800

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 60654 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 $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 Brinsley Kubiak's NPI number?

The NPI number for Brinsley Kubiak is 1457031551. It was assigned to this individual provider in the NPPES registry on July 24, 2023.

Where is Brinsley Kubiak located?

Brinsley Kubiak practices at 343 W Wolf Point Plz Unit 2502, Chicago, IL 60654. The listed phone number is (616) 402-7390.

What is Brinsley Kubiak's specialty?

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

Is Brinsley Kubiak enrolled in Medicare?

Yes. Brinsley Kubiak 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 Brinsley Kubiak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brinsley Kubiak reassigns Medicare benefits to Revolution Ptwl LLC (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 Brinsley Kubiak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brinsley Kubiak accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Brinsley Kubiak 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 Brinsley Kubiak was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.