SOLEIL THIELE (RD) – Registered Dietitian, NPI 1518579473

SOLEIL THIELE (RD) is a healthcare provider. based in Palmer, Alaska. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials RD. The NPI Number for SOLEIL THIELE (RD) is 1518579473

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
SOLEIL THIELE (RD)
NPI
1518579473
Phone
(530) 545-8622
Address
2210 N BROADWAY DR
Enumeration Date
20 August 2020
Last Update Date
12 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9077702380
Graduation Year
2019 (7 years ago)
PAC ID
4688092265
Group Practice PAC ID
0042505018
Professional Enrollment ID
I20200914002161
Address ID
AK995035769AN3909XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:5State licenses:0Digital endpointsOther names

38 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in AK

Provider Addresses for SOLEIL THIELE (RD)

  • 2210 N BROADWAY DR

    PALMER, AK 996459316

    Phone: (530) 545-8622

    Type: Mailing

  • 7646 W TIA TERRACE DR

    WASILLA, AK 996230332

    Phone: (530) 545-8622

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-09-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200914002161IRegistered Dietitian Or Nutrition ProfessionalAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99645)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042505018View full group profile
NameSpecialtyState
Physician AssistantWA
Registered Dietitian Or Nutrition ProfessionalAK
Registered Dietitian Or Nutrition ProfessionalAK
General SurgeryAK
Physician AssistantAK
Clinical PsychologistAK
Clinical Social WorkerAK
General SurgeryGA
Clinical PsychologistOR
Physician AssistantAK

Reviews

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Frequently asked questions

How do payers reference SOLEIL THIELE (RD)?
For SOLEIL THIELE (RD), use NPI 1518579473 as the unique 10-digit identifier.
Is SOLEIL THIELE (RD) still an active registrant?
SOLEIL THIELE (RD) carries an active NPI according to the public dataset.
How would a patient describe SOLEIL THIELE (RD)'s focus?
For SOLEIL THIELE (RD), the primary taxonomy reads as Registered Dietitian. Clinical services aligned with this taxonomy classification.
What locale is associated with SOLEIL THIELE (RD)?
Directory geography for SOLEIL THIELE (RD) centers on Palmer, Alaska.
When was this NPI issued?
Enumeration for SOLEIL THIELE (RD) is noted as August 20, 2020 where the registry provides it.

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