Keli M Shields, MS, RD, LD in Springdale, AR - Medicare Dietitian, Registered Provider

Keli M Shields, MS, RD, LD is a medicare enrolled "Dietitian, Registered" provider in Springdale, Arkansas. Her current practice location is 4600 Mercy Ln, Springdale, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 347-3721.

Keli M Shields is licensed to practice in * (Not Available) (license number 86211365) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1508581679.

Contact Information

	Keli M Shields, MS, RD, LD
	4600 Mercy Ln, Springdale, AR 72762-3070
	(479) 347-3721
	(479) 338-4629

Map and Direction

Healthcare Provider's Profile

Full Name	Keli M Shields
Gender	Female
Speciality	Dietitian, Registered
Location	4600 Mercy Ln, Springdale, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508581679
Provider Enumeration Date: 10/11/2022
Last Update Date: 09/18/2024

Medicare PECOS Information:

PECOS PAC ID: 0042747685
Enrollment ID: I20241220002324

Medical Identifiers

Medical identifiers for Keli M Shields such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508581679	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	2641 (Arkansas)	Secondary
133V00000X	Dietitian, Registered	86211365 (* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Keli M Shields allows following entities to bill medicare on her behalf.

Provider Name	Mercy Health Northwest Arkansas Communities
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1265490916 PECOS PAC ID: 0648177873 Enrollment ID: O20031216000788

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keli M Shields is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Keli M Shields, MS, RD, LD 204 Zion Church St, Lowell, AR 72745-9688 Ph: (845) 532-0065	Keli M Shields, MS, RD, LD 4600 Mercy Ln, Springdale, AR 72762-3070 Ph: (479) 347-3721

Reviews and Comments

Dietitian, Registered in Springdale, AR

Mrs. Tammy Nez Young, RD Dietitian Medicare: Medicare Enrolled Practice Location: 4001 Wagon Wheel Rd, Springdale, AR 72762 Phone: 479-725-3043 Fax: 479-725-3098
Abigail Stover, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2601 Gene George Blvd, Springdale, AR 72762 Phone: 479-725-6909
Caroline Carter, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 211 Suttle Dr, Springdale, AR 72764 Phone: 913-707-1290
Erin E Moore, RD Dietitian Medicare: Medicare Enrolled Practice Location: 3901 Parkway Cir, Springdale, AR 72762 Phone: 479-389-0444
Nicole Marie Beyla Hawkins, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 609 W Maple Ave Ste 612, Springdale, AR 72764 Phone: 479-757-4366
Kaley N Deputy, RD, LD, MS Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3901 Parkway Cir, Springdale, AR 72762 Phone: 479-587-1700 Fax: 479-587-1366

Keli M Shields, MS, RD, LD - Medicare Dietitian in Springdale, AR