HOLLY RETHERFORD RDN, LDN
NPI 1689200750
Dietitian, Registered in Gibson City, IL
About Holly Retherford Rdn, Ldn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLY RETHERFORD RDN, LDN (NPI 1689200750) is an individual dietitian, registered in Gibson City, Illinois and active in the NPI registry since March 2020. She is affiliated with Gibson Community Hospital, maintains a secondary practice location in Urbana, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Holly Retherford Rdn, Ldn 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.
Medicare Billing Reassignment
Medicare enrollment records show Holly Retherford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gibson City, IL 60936
- Reassigned Medicare billing, Illinois enrollment
- 201 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Gibson Community Hospital
Critical Access Hospitals · Gibson City, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60936 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GIBSON CITY, IL 60936
GIBSON CITY, IL 60936
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 Holly Retherford's NPI number?
The NPI number for Holly Retherford is 1689200750. It was assigned to this individual provider in the NPPES registry on March 20, 2020. The provider is also known as Holly Tompkins Rdn, Ldn.
Where is Holly Retherford located?
Holly Retherford practices at 1120 N Melvin St, Gibson City, IL 60936. The listed phone number is (217) 784-2865.
What is Holly Retherford's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Holly Retherford enrolled in Medicare?
Yes. Holly Retherford 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.
Which organization bills Medicare for Holly Retherford's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Holly Retherford reassigns Medicare benefits to Gibson Community Hospital Association (Gibson City, IL). 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 Holly Retherford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Holly Retherford affiliated with any hospitals?
According to CMS data, Holly Retherford is affiliated with Gibson Community Hospital.
When was this NPI record last updated?
The NPPES record for Holly Retherford was last updated on October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Holly Retherford, RDN, LDN · NPI 1689200750
Dietitian, Registered provider in Gibson City, Illinois. Individual provider, active in the CMS NPPES registry since March 20, 2020.
## Identity
- **NPI:** 1689200750 (Entity type: Individual)
- **Enumerated:** March 20, 2020
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1120 N MELVIN ST, Gibson City, IL 60936-1477
- **Phone:** (217) 784-2865
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Gibson Community Hospital Association (NPI 1043813454, Gibson City, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** October 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1689200750) · Data from the CMS NPPES public registry.