KELLY LYNN FUGOK RD
NPI 1851643100
Dietitian, Registered - Nutrition, Pediatric in Danville, PA

Q: What is Kelly Fugok's NPI number?

The NPI number for Kelly Fugok is 1851643100. It was assigned to this individual provider in the NPPES registry on October 11, 2012.

Q: What is Kelly Fugok's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Pediatric, with taxonomy code 133VN1004X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Fugok was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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 October 11, 2012Accepts Medicare Assignment

100 N ACADEMY AVE # MC15-09, DANVILLE, PA 17822(570) 214-3223(570) 271-7805 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Kelly Lynn Fugok Rd NPPES

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

KELLY LYNN FUGOK RD (NPI 1851643100) is an individual nutrition, pediatric provider in Danville, Pennsylvania, licensed in Pennsylvania (DN002918) and active in the NPI registry since October 2012. She is a graduate of Other (1991).

NPPES Registry Identity

NPI1851643100

Entity TypeIndividualFemale

Primary Taxonomy133VN1004X

Provider Legal NameKELLY LYNN FUGOKCredential: RD

Location Address100 N ACADEMY AVE # MC15-09Danville, PA 17822-0001

Mailing AddressGeisinger Medical Ctr, 100 North Academy Avenue, Mc 15-09Danville, PA 17822-0001 · (570) 214-3223 · Fax (570) 271-7805

Phone(570) 214-3223

Fax(570) 271-7805

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateOctober 11, 2012

Last NPPES UpdateMay 28, 2025

NPPES CertifiedMay 28, 2025

✔ NPI 1851643100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, Registered · Nutrition, PediatricDietary & Nutritional Service Providers

Taxonomy Code133VN1004X

License✔ Licensed in PA · DN002918

Definition

An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.

Also ListedDietitian, RegisteredTaxonomy 133V00000X · License DN002918 (PA)

100 N ACADEMY AVE # MC15-09, Danville, PA 17822

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana.Insurance ›

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

Kelly Lynn Fugok Rd 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 ID7719122696

PECOS Enrollment IDI20251201003301

Medicare Billing Reassignments

Medicare enrollment records show Kelly Fugok reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Season Clinical Care Nj PC

113 mi

Dietitian, Registered

1719 NJ-10, SUITE 300, OFFICE 303
Parsippany, NJ 07054

Reassigned Medicare billing, New Jersey enrollment
70 clinicians in this Medicare group

NPI 1700693348 (888) 807-4117

Season Clinical Care P.A.

1,253 mi

Dietitian, Registered

6565 N MACARTHUR BLVD STE 225
Irving, TX 75039

Reassigned Medicare billing, Colorado enrollment
Medicare enrollment name: Season Clinical Care PA
47 clinicians in this Medicare group

NPI 1649933565 (888) 807-4117

Surely Health, Inc.

1,253 mi

Dietitian, Registered

6565 N MACARTHUR BLVD STE 225
Irving, TX 75039

Reassigned Medicare billing, Arizona enrollment
79 clinicians in this Medicare group

NPI 1053078360 (888) 807-4117

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

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

MS. SARAH CATHERINE DAYTON RDN

Dietitian, Registered

100 N ACADEMY AVE # MC15-09
DANVILLE, PA 17822

Montour County (570) 271-7826

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 Kelly Fugok's NPI number?

The NPI number for Kelly Fugok is 1851643100. It was assigned to this individual provider in the NPPES registry on October 11, 2012.

Where is Kelly Fugok located?

Kelly Fugok practices at 100 N Academy Ave # Mc15-09, Danville, PA 17822. The listed phone number is (570) 214-3223.

What is Kelly Fugok's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Pediatric, with taxonomy code 133VN1004X.

Is Kelly Fugok enrolled in Medicare?

Yes. Kelly Fugok 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 organizations bill Medicare for Kelly Fugok's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Fugok reassigns Medicare benefits to 3 organizations: Season Clinical Care Nj PC (Parsippany, NJ), Season Clinical Care P.A. (Irving, TX) and Surely Health, Inc. (Irving, TX). Each 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 Kelly Fugok's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Fugok accept?

Health plans from Blue Cross and Blue Shield of Montana list Kelly Fugok as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Fugok was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.