MRS. ANOUK DANIELLE SHELTON MBA, RD, LD, CNSC
NPI 1619644960
Dietitian, Registered in South Bend, IN

Active since August 25, 2021Accepts Medicare Assignment
300 S SAINT LOUIS BLVD, SOUTH BEND, IN 46617(574) 301-5205(574) 301-5205 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 2, 2022, Aug 25, 2021 (2 updates tracked since 2021).

About Mrs. Anouk Danielle Shelton Mba, Rd, Ld, Cnsc NPPES

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

MRS. ANOUK DANIELLE SHELTON MBA, RD, LD, CNSC (NPI 1619644960) is an individual dietitian, registered in South Bend, Indiana, licensed in Indiana (37003364A) and active in the NPI registry since August 2021. She maintains a secondary practice location in Elkhart and is a graduate of Other (2017).

NPPES Registry Identity

NPI1619644960
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMRS. ANOUK DANIELLE SHELTONCredential: MBA, RD, LD, CNSC
Location Address300 S SAINT LOUIS BLVDSouth Bend, IN 46617-3043
Mailing Address16151 Petro DrMishawaka, IN 46544-6422 · (815) 342-6205
Fax(574) 301-5205
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 25, 2021
Last NPPES UpdateAugust 2, 20222 updates tracked since enumeration
NPPES CertifiedAugust 2, 2022
NPI 1619644960 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 IN · 37003364A
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.

300 S SAINT LOUIS BLVD, South Bend, IN 46617

Other Names 1

Former Name (1)Miss Anouk Danielle Breuker

Secondary Practice Location 1

Location 1600 East BlvdElkhart, IN 46514-2499 · Phone (574) 296-6589 · Fax (574) 296-6589

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

Mrs. Anouk Danielle Shelton Mba, Rd, Ld, Cnsc 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 ID7719382761
PECOS Enrollment IDI20210830000877

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46617 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 $53.07 – $161.76
Typical copayment $0.00 (range $13.26 – $40.44)
Most-billed visit code NA
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 5

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

Social Worker (Clinical)
300 S SAINT LOUIS BLVD, STE 200
SOUTH BEND, IN 46617
Social Worker (Clinical)
300 S SAINT LOUIS BLVD, SUITE 200
SOUTH BEND, IN 46617
Counselor (Mental Health)
300 S SAINT LOUIS BLVD, STE 200
SOUTH BEND, IN 46617
Clinic/Center (Health Service)
300 S SAINT LOUIS BLVD
SOUTH BEND, IN 46617
Counselor (Mental Health)
300 S SAINT LOUIS BLVD
SOUTH BEND, IN 46617

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619644960, enumerated as an "individual" on August 25, 2021.

The provider is located at 300 S SAINT LOUIS BLVD SOUTH BEND, IN 46617 and the phone number is (574) 301-5205.

Dietitian, Registered with taxonomy code 133V00000X.