MARCIA SCHULTZ (MPH, RD, LDN, CDCES) – Registered Dietitian, NPI 1396021390

Registered Dietitian

MARCIA SCHULTZ (MPH, RD, LDN, CDCES) is a healthcare provider. based in Bourbonnais, Illinois. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials MPH, RD, LDN, CDCES. They hold a License No. ND8427 (FL). The NPI Number for MARCIA SCHULTZ (MPH, RD, LDN, CDCES) is 1396021390

Main info

Female

16 Years Of Experience

Accepts Medicare Assignment

Name

MARCIA SCHULTZ (MPH, RD, LDN, CDCES)

NPI

1396021390

Phone

(815) 739-1040

Address

712 MEADOWBROOK LN

Enumeration Date

24 October 2011

Last Update Date

7 December 2022

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8134608792

Graduation Year

2010 (16 years ago)

PAC ID

1951574342

Group Practice PAC ID

8820469208

Professional Enrollment ID

I20230123000643

Address ID

FL337062524ST229XXAVEX300

Telehealth

Yes

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:14State licenses:1Digital endpointsOther names

311 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in IL

Provider Addresses for MARCIA SCHULTZ (MPH, RD, LDN, CDCES)

712 MEADOWBROOK LN
BOURBONNAIS, IL 60914
Phone: (815) 739-1040
Type: Mailing
1289 ARMOUR RD
BOURBONNAIS, IL 609142105
Phone: (815) 739-1040
Type: Location
229 45TH AVE
ST PETE BEACH, FL 337062524
Phone: (813) 460-8792
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: 2024-04-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20230123000643	I	Registered Dietitian Or Nutrition Professional	FL	TBD
I20240102002625	I	Registered Dietitian Or Nutrition Professional	GA	TBD
I20240402000033	I	Registered Dietitian Or Nutrition Professional	NC	TBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCS	Description	Services	Beneficiaries	Medicare allowed
97802	Therapy procedure for nutrition management, each 15 minutes	45	11	$0

View full utilization report →

Insurance plans in this area (ZIP 60914)

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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: 8820469208View full group profile

Name	Specialty	State
NATALIE WOLF (RDN)	Registered Dietitian Or Nutrition Professional	AZ
ALLISON GRAY (RD, RDN, MS)	Registered Dietitian Or Nutrition Professional	TX
MARISSA ELAINE KELLEY (RD, CDCES, NBC-HWC)	Registered Dietitian Or Nutrition Professional	IL

Reviews

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Frequently asked questions

How do I look up MARCIA SCHULTZ (MPH, RD, LDN, CDCES) by NPI?

Use NPI 1396021390 when you need to reference MARCIA SCHULTZ (MPH, RD, LDN, CDCES) in forms, claims, or directories.

Is MARCIA SCHULTZ (MPH, RD, LDN, CDCES)'s enrollment marked active?

An active flag here means the NPI record is not in a deactivated state.

What does MARCIA SCHULTZ (MPH, RD, LDN, CDCES) treat or focus on?

Patients typically see MARCIA SCHULTZ (MPH, RD, LDN, CDCES) under the specialty Registered Dietitian. Clinical services aligned with this taxonomy classification.

Where does public data place MARCIA SCHULTZ (MPH, RD, LDN, CDCES)?

The snapshot lists Bourbonnais, Illinois for MARCIA SCHULTZ (MPH, RD, LDN, CDCES); download NPPES for the complete set.

Is MARCIA SCHULTZ (MPH, RD, LDN, CDCES) a real provider?

This page reflects official NPPES data for NPI 1396021390. Always confirm identity and privileges with the practice and licensing boards.