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MICHIANA NUTRITION AND DIABETES EDUCATION LLC
NPI 1619604410
Clinic/Center - Health Service in South Bend, IN

Active since August 02, 2022
300 S SAINT LOUIS BLVD, SOUTH BEND, IN 46617(574) 301-5205(574) 301-5205 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 25, 2022, Aug 2, 2022 (2 updates tracked since 2022).

About Michiana Nutrition And Diabetes Education Llc NPPES

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

MICHIANA NUTRITION AND DIABETES EDUCATION LLC (NPI 1619604410) is a healthcare organization registered as a health service in South Bend, Indiana and active in the NPI registry since August 2022. The organization lists Anouk D Shelton, Registered Dietitian, as its authorized official.

NPPES Registry Identity

NPI1619604410
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameMICHIANA NUTRITION AND DIABETES EDUCATION LLC
Location Address300 S SAINT LOUIS BLVDSouth Bend, IN 46617-3043
Mailing Address16151 Petro DrMishawaka, IN 46544-6422 · (815) 342-6205
Phone(574) 301-5205
Fax(574) 301-5205
Organization SubpartNo
Authorized OfficialAnouk D SheltonRegistered Dietitian · (815) 342-6205
Enumeration DateAugust 2, 2022
Last NPPES UpdateOctober 25, 20222 updates tracked since enumeration
NPPES CertifiedOctober 25, 2022
✔ NPI 1619604410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
300 S SAINT LOUIS BLVD, South Bend, IN 46617
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michiana Nutrition And Diabetes Education Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Michiana Nutrition And Diabetes Education LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Anouk Shelton, MBA, RD, LD, CNSC
Registered Dietitian or Nutrition Professional
NPI 1619644960
300 S SAINT LOUIS BLVD
South Bend, IN 46617
(574) 301-5205
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Michiana Nutrition And Diabetes Education LLC's NPI number?

The NPI number for Michiana Nutrition And Diabetes Education LLC is 1619604410. It was assigned to this organization in the NPPES registry on August 2, 2022.

Where is Michiana Nutrition And Diabetes Education LLC located?

Michiana Nutrition And Diabetes Education LLC is located at 300 S Saint Louis Blvd, South Bend, IN 46617. The listed phone number is (574) 301-5205.

What is Michiana Nutrition And Diabetes Education LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Michiana Nutrition And Diabetes Education LLC enrolled in Medicare?

Yes. Michiana Nutrition And Diabetes Education LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Michiana Nutrition And Diabetes Education LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Michiana Nutrition And Diabetes Education LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Michiana Nutrition And Diabetes Education LLC was last updated on October 25, 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.