MS. KELLY NICOLE REESER (RD) – Registered Dietitian, NPI 1659613438
Registered Dietitian
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
311 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in IL
Provider Addresses for MS. KELLY NICOLE REESER (RD)
820 S DAMEN AVE
DEPARTMENT 120
CHICAGO, IL 606123728
Phone: (312) 569-6427
Type: Mailing
820 S Damen Ave
department 120
Chicago, IL 606123728
Phone: (312) 569-6427
Type: Location
PO BOX 735044
CHICAGO, IL 606735044
Phone: (800) 326-2250
Type: Mailing
4202 W OAKWOOD PARK CT
FRANKLIN, WI 531329118
Phone: (414) 423-5250
Type: Location
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: 2025-03-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250304003913 | I | Registered Dietitian Or Nutrition Professional | WI | 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.
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 60612)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | WI | |
| Physician Assistant | WI | |
| - | WI | |
| - | WI | |
| - | WI | |
| Diagnostic Radiology | WI | |
| - | WI | |
| Family Practice | WI | |
| Family Practice, Geriatric Medicine | IL | |
| - | WI |
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