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KELLY M KNOEBEL RDN
NPI 1962089029
Dietitian, Registered in Oneida, WI

Active since March 25, 2021
525 AIRPORT DR, ONEIDA, WI 54155(920) 869-2711(920) 869-4909 Get Directions Write a Review

NPPES record last updated: August 23, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 23, 2021, Mar 25, 2021 (2 updates tracked since 2021).

About Kelly M Knoebel Rdn NPPES

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

KELLY M KNOEBEL RDN (NPI 1962089029) is an individual dietitian, registered in Oneida, Wisconsin, licensed in Wisconsin (3627) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1962089029
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKELLY M KNOEBELCredential: RDN
Location Address525 AIRPORT DROneida, WI 54155-9035
Mailing AddressPo Box 365Oneida, WI 54155-0365 · (920) 869-2711 · Fax (920) 869-4909
Phone(920) 869-2711
Fax(920) 869-4909
Sole ProprietorNo
Enumeration DateMarch 25, 2021
Last NPPES UpdateAugust 23, 20212 updates tracked since enumeration
NPPES CertifiedMarch 25, 2021
✔ NPI 1962089029 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 WI · 3627
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.
525 AIRPORT DR, Oneida, WI 54155
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly M Knoebel Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Oneida Nation
0.2 mi
Clinic/Center
525 AIRPORT DR
Oneida, WI 54155
  • Reassigned Medicare billing, Wisconsin enrollment
  • 78 clinicians in this Medicare group
NPI 1740278308 (920) 869-2711

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.

JACKIE L HAVEL RD
Dietitian, Registered
525 AIRPORT DR
ONEIDA, WI 54155
Brown County (920) 869-2711
DR. JOSEPH E BINARD MD
Urology
525 AIRPORT DR
ONEIDA, WI 54155
Brown County (920) 869-2711
DAWN KRINES BS
Health Educator
525 AIRPORT DR
ONEIDA, WI 54155
Brown County (920) 869-2711
SARAH PHILLIP MAC
Health Educator
525 AIRPORT DR
ONEIDA, WI 54155
Brown County (920) 869-2711
LAUREN MARIE CORNETTE APNP
Nurse Practitioner (Adult Health)
525 AIRPORT DR
ONEIDA, WI 54155
Brown County (920) 869-2711
DR. LISA LYNN SLABY OD
Optometrist
525 AIRPORT DR
ONEIDA, WI 54155
Brown County (920) 869-2711
BRIDGET A NELSON RDH
Dental Hygienist
525 AIRPORT DR
ONEIDA, WI 54155
Brown County (920) 869-2711
DR. MATTHEW AGEN PT, DPT
Physical Therapist
525 AIRPORT DR
ONEIDA, WI 54155
Brown County (920) 869-2711

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 Knoebel's NPI number?

The NPI number for Kelly Knoebel is 1962089029. It was assigned to this individual provider in the NPPES registry on March 25, 2021.

Where is Kelly Knoebel located?

Kelly Knoebel practices at 525 Airport Dr, Oneida, WI 54155. The listed phone number is (920) 869-2711.

What is Kelly Knoebel's specialty?

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

Is Kelly Knoebel enrolled in Medicare?

Yes. Kelly Knoebel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Knoebel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Knoebel reassigns Medicare benefits to Oneida Nation (Oneida, WI). 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 Kelly Knoebel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Knoebel accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and Security Health Plan list Kelly Knoebel 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 Knoebel was last updated on August 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.