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MARISSA ELAINE KELLEY RD, CDCES, NBC-HWC
NPI 1942010178
Dietitian, Registered in Glen Ellyn, IL

Active since January 09, 2025Accepts Medicare Assignment
23W308 WESTCHESTER CT, GLEN ELLYN, IL 60137(617) 833-3783 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Marissa Elaine Kelley Rd, Cdces, Nbc-hwc NPPES

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

MARISSA ELAINE KELLEY RD, CDCES, NBC-HWC (NPI 1942010178) is an individual dietitian, registered in Glen Ellyn, Illinois, licensed in Illinois (164.005904) and active in the NPI registry since January 2025. She is a graduate of Other (1999).

NPPES Registry Identity

NPI1942010178
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMARISSA ELAINE KELLEYCredential: RD, CDCES, NBC-HWC
Location Address23W308 WESTCHESTER CTGlen Ellyn, IL 60137-6546
Mailing Address23w308 Westchester CtGlen Ellyn, IL 60137-6546 · (617) 833-3783
Phone(617) 833-3783
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJanuary 9, 2025
NPPES CertifiedJanuary 9, 2025
✔ NPI 1942010178 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 IL · 164.005904
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.
23W308 WESTCHESTER CT, Glen Ellyn, IL 60137
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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

Marissa Elaine Kelley Rd, Cdces, Nbc-hwc 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 ID7517440050
PECOS Enrollment IDI20260312000984

Medicare Billing Reassignment

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

Medical Dietitians LLC
1,019 mi
Dietitian, Registered
229 45TH AVE
St Pete Beach, FL 33706
  • Reassigned Medicare billing, Florida enrollment
  • 6 clinicians in this Medicare group
NPI 1053028415 (181) 346-0879

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60137 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 $59.81 – $181.38
Typical copayment $0.00 (range $14.95 – $45.34)
Most-billed visit code NA
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

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 Marissa Kelley's NPI number?

The NPI number for Marissa Kelley is 1942010178. It was assigned to this individual provider in the NPPES registry on January 9, 2025.

Where is Marissa Kelley located?

Marissa Kelley practices at 23w308 Westchester Ct, Glen Ellyn, IL 60137. The listed phone number is (617) 833-3783.

What is Marissa Kelley's specialty?

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

Is Marissa Kelley enrolled in Medicare?

Yes. Marissa Kelley 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 Marissa Kelley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marissa Kelley reassigns Medicare benefits to Medical Dietitians LLC (St Pete Beach, FL). 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 Marissa Kelley'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 Marissa Kelley was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.