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KIMBERLY MARIE GILLEN RDN LD
NPI 1932843174
Dietitian, Registered in Wichita, KS

Active since April 25, 2022
8100 E 22ND ST N STE D, WICHITA, KS 67226(316) 630-8243 Get Directions Write a Review

NPPES record last updated: May 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 12, 2022, Apr 25, 2022 (2 updates tracked since 2022).

About Kimberly Marie Gillen Rdn Ld NPPES

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

KIMBERLY MARIE GILLEN RDN LD (NPI 1932843174) is an individual dietitian, registered in Wichita, Kansas and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1932843174
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKIMBERLY MARIE GILLENCredential: RDN LD
Location Address8100 E 22ND ST N STE DWichita, KS 67226-2388
Mailing Address8100 E 22nd St N Ste DWichita, KS 67226-2388 · (316) 630-8243
Phone(316) 630-8243
Sole ProprietorNo
Enumeration DateApril 25, 2022
Last NPPES UpdateMay 12, 20222 updates tracked since enumeration
NPPES CertifiedMay 12, 2022
✔ NPI 1932843174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
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.
8100 E 22ND ST N STE D, Wichita, KS 67226
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Other Names 1

Former Name (1)Kimberly Marie Gillen Rdn

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Marie Gillen Rdn Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Marstall Nutritional Consulting LLC
Same address
Dietitian, Registered
8100 E 22ND STREET N, BUILDING 1500 SUITE D
Wichita, KS 67226
  • Reassigned Medicare billing, Kansas enrollment
NPI 1568109056 (316) 630-8243

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.

GROW WILD THERAPY
Psychologist (Clinical)
8100 E 22ND ST N STE D
WICHITA, KS 67226
Sedgwick County (316) 634-4153

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 Kimberly Gillen's NPI number?

The NPI number for Kimberly Gillen is 1932843174. It was assigned to this individual provider in the NPPES registry on April 25, 2022. The provider is also known as Kimberly Marie Gillen Rdn.

Where is Kimberly Gillen located?

Kimberly Gillen practices at 8100 E 22nd St N Ste D, Wichita, KS 67226. The listed phone number is (316) 630-8243.

What is Kimberly Gillen's specialty?

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

Is Kimberly Gillen enrolled in Medicare?

Yes. Kimberly Gillen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberly Gillen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Gillen reassigns Medicare benefits to Marstall Nutritional Consulting LLC (Wichita, KS). 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 Kimberly Gillen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Gillen accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Kimberly Gillen 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 Kimberly Gillen was last updated on May 12, 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.