MS. MARY ANN KELLY R.D.
NPI 1518187772
Dietitian, Registered in Joshua Tree, CA

Q: What is Mary Kelly's NPI number?

The NPI number for Mary Kelly is 1518187772. It was assigned to this individual provider in the NPPES registry on April 27, 2007.

Q: What is Mary Kelly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Kelly was last updated on December 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 27, 2007Accepts Medicare Assignment

6448 HALLEE RD STE 9, JOSHUA TREE, CA 92252(760) 366-8390(760) 418-2243 Get Directions Write a Review

NPPES record last updated: December 15, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 15, 2020, Jul 8, 2020 (2 updates tracked since 2020).

On this page

About Ms. Mary Ann Kelly R.d. NPPES

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

MS. MARY ANN KELLY R.D. (NPI 1518187772) is an individual dietitian, registered in Joshua Tree, California, licensed in Illinois (709057) and active in the NPI registry since April 2007. She is a graduate of Other (1980).

NPPES Registry Identity

NPI1518187772

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMS. MARY ANN KELLYCredential: R.D.

Location Address6448 HALLEE RD STE 9Joshua Tree, CA 92252-1908

Mailing AddressPo Box 1357Joshua Tree, CA 92252-0839 · (760) 954-1308 · Fax (760) 418-2243

Phone(760) 366-8390

Fax(760) 418-2243

Sole ProprietorYes

Medical School CMSOtherGraduated 1980

Enumeration DateApril 27, 2007

Last NPPES UpdateDecember 15, 20202 updates tracked since enumeration

NPPES CertifiedDecember 15, 2020

✔ NPI 1518187772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in IL · 709057

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.

Also ListedDietary ManagerTaxonomy 132700000X · License 709057 (IL)

Also ListedNutritionistTaxonomy 133N00000X · License 709057 (IL)

6448 HALLEE RD STE 9, Joshua Tree, CA 92252

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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

Ms. Mary Ann Kelly R.d. 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 ID2961841093

PECOS Enrollment IDI20240422002152

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92252 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 $59.60 – $179.42

Typical copayment $0.00 (range $14.90 – $44.85)

Most-billed visit code NA

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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 Mary Kelly's NPI number?

The NPI number for Mary Kelly is 1518187772. It was assigned to this individual provider in the NPPES registry on April 27, 2007.

Where is Mary Kelly located?

Mary Kelly practices at 6448 Hallee Rd Ste 9, Joshua Tree, CA 92252. The listed phone number is (760) 366-8390.

What is Mary Kelly's specialty?

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

Is Mary Kelly enrolled in Medicare?

Yes. Mary Kelly 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 Mary Kelly was last updated on December 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.