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KELLI CIERRA WALL RDN
NPI 1508511122
Dietitian, Registered in Detroit, MI

Active since February 14, 2022Accepts Medicare Assignment
13901 E JEFFERSON AVE, DETROIT, MI 48215(313) 821-2591(313) 822-0950 Get Directions Write a Review

NPPES record last updated: February 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelli Cierra Wall Rdn NPPES

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

KELLI CIERRA WALL RDN (NPI 1508511122) is an individual dietitian, registered in Detroit, Michigan, licensed in Michigan (86044997) and active in the NPI registry since February 2022. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1508511122
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKELLI CIERRA WALLCredential: RDN
Location Address13901 E JEFFERSON AVEDetroit, MI 48215-2720
Mailing Address13901 E Jefferson AveDetroit, MI 48215-2720 · (313) 821-2591 · Fax (313) 822-0950
Phone(313) 821-2591
Fax(313) 822-0950
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 14, 2022
NPPES CertifiedFebruary 14, 2022
✔ NPI 1508511122 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 · 86044997
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.
13901 E JEFFERSON AVE, Detroit, MI 48215
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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

Kelli Cierra Wall 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 ID5698153989
PECOS Enrollment IDI20220526002637

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48215 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 $58.04 – $177.36
Typical copayment $0.00 (range $14.51 – $44.34)
Most-billed visit code NA
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 16

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

PATRICK D O'NEAL CHW
Community Health Worker
13901 E JEFFERSON AVE
DETROIT, MI 48215
Wayne County (313) 315-1670
MS. JOYCE Y. BROWN RN
Registered Nurse
13901 E JEFFERSON AVE
DETROIT, MI 48215
Wayne County (313) 921-5500
JEFFREY GARY BEACH RDN
Dietitian, Registered
13901 E JEFFERSON AVE
DETROIT, MI 48215
Wayne County (313) 822-0900
DARRYL LAVEZ JOHNSON
Community Health Worker
13901 E JEFFERSON AVE
DETROIT, MI 48215
Wayne County (313) 832-6300
GARRETT CLARK MARTIN M.D.
Internal Medicine
13901 E JEFFERSON AVE
DETROIT, MI 48215
Wayne County (313) 822-0900
DETROIT COMMUNITY HEALTH CONNECTION, INC
Clinic/Center (Multi-Specialty)
13901 E JEFFERSON AVE
DETROIT, MI 48215
Wayne County (313) 343-2873
MRS. SARAH BROWN-SAPP BSN, RN
Registered Nurse (Community Health)
13901 E JEFFERSON AVE
DETROIT, MI 48215
Wayne County (313) 369-2600
TAMIKA ROCHELLE HAWKINS NURSE PRACTITIONER
Nurse Practitioner (Family)
13901 E JEFFERSON AVE
DETROIT, MI 48215
Wayne County (313) 822-0900

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 Kelli Wall's NPI number?

The NPI number for Kelli Wall is 1508511122. It was assigned to this individual provider in the NPPES registry on February 14, 2022.

Where is Kelli Wall located?

Kelli Wall practices at 13901 E Jefferson Ave, Detroit, MI 48215. The listed phone number is (313) 821-2591.

What is Kelli Wall's specialty?

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

Is Kelli Wall enrolled in Medicare?

Yes. Kelli Wall 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.

When was this NPI record last updated?

The NPPES record for Kelli Wall was last updated on February 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.