MS. KELLY ELISABETH MARKIEWICZ (R.D., L.D.) – Registered Dietitian, NPI 1417224064
Registered Dietitian
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
75 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in RI
Provider Addresses for MS. KELLY ELISABETH MARKIEWICZ (R.D., L.D.)
685 METACOM AVE
BRISTOL, RI 028095131
Phone: (401) 396-9331
Fax: (401) 396-9369
Type: Mailing
450 VETERANS MEMORIAL PKWY STE 8C
EAST PROVIDENCE, RI 029145300
Phone: (401) 396-9331
Fax: (401) 396-9369
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.
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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: 2012-02-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120214000300 | I | Registered Dietitian Or Nutrition Professional | RI | 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 02809)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| REGISTERED DIETITIAN OR NUTRITION P | RI | 97802 | Medical nutrition therapy, assessment and intervention, each 15 minutes | 56 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Registered Dietitian Or Nutrition Professional | RI | |
| Registered Dietitian Or Nutrition Professional | RI | |
| Registered Dietitian Or Nutrition Professional | RI | |
| Registered Dietitian Or Nutrition Professional | MA | |
| Registered Dietitian Or Nutrition Professional | RI | |
| Registered Dietitian Or Nutrition Professional | RI | |
| Registered Dietitian Or Nutrition Professional | MA | |
| - | RI | |
| Registered Dietitian Or Nutrition Professional | MA | |
| - | RI |
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