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KELI M SHIELDS MS, RD, LD
NPI 1508581679
Dietitian, Registered in Springdale, AR

Active since October 11, 2022
4600 MERCY LN, SPRINGDALE, AR 72762(479) 347-3721(479) 338-4629 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 18, 2024, Sep 6, 2024, Oct 11, 2022 (3 updates tracked since 2022).

About Keli M Shields Ms, Rd, Ld NPPES

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

KELI M SHIELDS MS, RD, LD (NPI 1508581679) is an individual dietitian, registered in Springdale, Arkansas, licensed in (86211365) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1508581679
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKELI M SHIELDSCredential: MS, RD, LD
Location Address4600 MERCY LNSpringdale, AR 72762-3070
Mailing Address204 Zion Church StLowell, AR 72745-9688 · (845) 532-0065
Phone(479) 347-3721
Fax(479) 338-4629
Sole ProprietorNo
Enumeration DateOctober 11, 2022
Last NPPES UpdateSeptember 18, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1508581679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Licenses✔ Licensed · 86211365✔ Licensed in AR · 2641
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.
4600 MERCY LN, Springdale, AR 72762
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keli M Shields Ms, Rd, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Mercy Health Northwest Arkansas Communities
2.7 mi
Family Medicine
1110 W ROBINSON AVE
Springdale, AR 72764
  • Reassigned Medicare billing, Arkansas enrollment
  • 472 clinicians in this Medicare group
NPI 1407266760 (479) 751-8440

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 2

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

RACHEL MARIA PISTON APRN-CNP
Nurse Practitioner (Family)
4600 MERCY LN
SPRINGDALE, AR 72762
Washington County (479) 338-4400
KATI LIGON KEITH MS, RD
Dietitian, Registered
4600 MERCY LN
SPRINGDALE, AR 72762
Washington County (501) 672-6176

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 Keli Shields's NPI number?

The NPI number for Keli Shields is 1508581679. It was assigned to this individual provider in the NPPES registry on October 11, 2022.

Where is Keli Shields located?

Keli Shields practices at 4600 Mercy Ln, Springdale, AR 72762. The listed phone number is (479) 347-3721.

What is Keli Shields's specialty?

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

Is Keli Shields enrolled in Medicare?

Yes. Keli Shields is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Keli Shields's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keli Shields reassigns Medicare benefits to Mercy Health Northwest Arkansas Communities (Springdale, AR). 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 Keli Shields's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keli Shields accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Keli Shields 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 Keli Shields was last updated on September 18, 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.