1. Home
  2. Directory
  3. Missouri
  4. Cape Girardeau
  5. Dietitian Registered
  6. NPI Profile

KELSEY D GIBSON RD, LD
NPI 1841645330
Dietitian, Registered in Cape Girardeau, MO

Active since May 03, 2016
211 SAINT FRANCIS DR, CAPE GIRARDEAU, MO 63703(573) 331-5511(573) 331-5512 Get Directions Write a Review

NPPES record last updated: April 26, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 26, 2022, Nov 22, 2017 (2 updates tracked since 2017).

About Kelsey D Gibson Rd, Ld NPPES

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

KELSEY D GIBSON RD, LD (NPI 1841645330) is an individual dietitian, registered in Cape Girardeau, Missouri, licensed in Missouri (2013033756) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1841645330
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKELSEY D GIBSONCredential: RD, LD
Location Address211 SAINT FRANCIS DRCape Girardeau, MO 63703-5049
Mailing AddressPo Box 801143Kansas City, MO 64180-1143 · (573) 331-5583 · Fax (573) 331-5079
Phone(573) 331-5511
Fax(573) 331-5512
Sole ProprietorNo
Enumeration DateMay 3, 2016
Last NPPES UpdateApril 26, 20222 updates tracked since enumeration
NPPES CertifiedApril 26, 2022
✔ NPI 1841645330 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 MO · 2013033756
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.
211 SAINT FRANCIS DR, Cape Girardeau, MO 63703
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey D Gibson Rd, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Saint Francis Medical Center
Same address
Anesthesiology
211 SAINT FRANCIS DR
Cape Girardeau, MO 63703
  • Reassigned Medicare billing, Missouri enrollment
  • 595 clinicians in this Medicare group
NPI 1356304489 (573) 334-7575

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 20

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

LISA M ZOELLNER-GULLETTE FNP
Nurse Practitioner (Family)
211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 331-5770
JESSICA H LEMMONS
Obstetrics & Gynecology
211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 339-1166
DR. NEFRETITI MER-EN-RA GARRISON-NORTH MD
Internal Medicine
211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 331-5770
GIUSEPPE GALATI CRNA
Nurse Anesthetist, Certified Registered
211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 331-5150
JULIANNE MARIE WHEELOCK PA-C
Physician Assistant
211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 331-5110
STEPHEN E DAILEY CRNA
Nurse Anesthetist, Certified Registered
211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 331-3000
MELISSA KELLEY
Registered Nurse (Lactation Consultant)
211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 331-5480
AYOTUNDE B FADAYOMI MD
Anesthesiology (Pain Medicine)
211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 331-5329

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 Kelsey Gibson's NPI number?

The NPI number for Kelsey Gibson is 1841645330. It was assigned to this individual provider in the NPPES registry on May 3, 2016.

Where is Kelsey Gibson located?

Kelsey Gibson practices at 211 Saint Francis Dr, Cape Girardeau, MO 63703. The listed phone number is (573) 331-5511.

What is Kelsey Gibson's specialty?

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

Is Kelsey Gibson enrolled in Medicare?

Yes. Kelsey Gibson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelsey Gibson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Gibson reassigns Medicare benefits to Saint Francis Medical Center (Cape Girardeau, MO). 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 Kelsey Gibson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelsey Gibson was last updated on April 26, 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.