KELLIE WESTBROOK (RD) – Nutritionist, NPI 1477873982

KELLIE WESTBROOK (RD) is a healthcare provider. based in Omaha, Nebraska. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials RD. They hold a License No. 191 (NE). The NPI Number for KELLIE WESTBROOK (RD) is 1477873982

Main info

Female
41 Years Of Experience
Accepts Medicare Assignment
Name
KELLIE WESTBROOK (RD)
NPI
1477873982
Phone
(402) 717-1299
Address
8613 N 30TH ST
Enumeration Date
7 June 2010
Last Update Date
28 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1985 (41 years ago)
PAC ID
3274596390
Group Practice PAC ID
1951210418
Professional Enrollment ID
I20041110000193
Address ID
NE681304661OM16909CTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:16State licenses:1Digital endpointsOther names

47 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in NE

Provider Addresses for KELLIE WESTBROOK (RD)

  • 8613 N 30TH ST

    OMAHA, NE 681121852

    Phone: (402) 717-1299

    Fax: (402) 453-5617

    Type: Location

  • 14450 Eagle Run Dr

    Suite 104

    Omaha, NE 681161493

    Phone: (402) 498-0300

    Fax: (402) 498-0355

    Type: Location

  • 14450 EAGLE RUN DR

    SUITE 104

    OMAHA, NE 681161493

    Phone: (402) 498-0300

    Fax: (402) 498-0355

    Type: Location

  • PO BOX 642117

    OMAHA, NE 681648117

    Phone:

    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: 2004-11-10

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
I20041110000193IRegistered Dietitian Or Nutrition ProfessionalNETBD

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97803Therapy procedure reassessment for nutrition management, each 15 minutes15533$0
97802Therapy procedure for nutrition management, each 15 minutes7619$0
View full utilization report →

Insurance plans in this area (ZIP 68112)

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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: 1951210418View full group profile
NameSpecialtyState
H O S P I T A L I S TNE
Orthopedic SurgeryNE
Physician AssistantNE
Cardiovascular Disease (Cardiology)NE
H O S P I T A L I S TCA
N E U R O L O G YMO
U R O L O G YNE
Hospitalist, Internal MedicineIA
Family PracticeNE
Orthopedic SurgeryIL

Reviews

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Frequently asked questions

What NPI should I save for KELLIE WESTBROOK (RD)?
Save NPI 1477873982 if you need a stable reference for KELLIE WESTBROOK (RD).
Does this profile mean KELLIE WESTBROOK (RD) is currently active?
Yes — KELLIE WESTBROOK (RD) appears active in the national provider directory.
What field does KELLIE WESTBROOK (RD) work in?
You can think of KELLIE WESTBROOK (RD) as practicing within Nutritionist. Clinical services aligned with this taxonomy classification.
Where is KELLIE WESTBROOK (RD)'s primary listing?
We display Omaha, Nebraska because that is what the record indicates for KELLIE WESTBROOK (RD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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