KATELYN BROCKMILLER (RDN) – Registered Dietitian, NPI 1063016285
Registered Dietitian
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
166 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in VA
Provider Addresses for KATELYN BROCKMILLER (RDN)
1309 JAMESTOWN RD STE 102
WILLIAMSBURG, VA 231853380
Phone: (757) 585-3441
Fax: (888) 972-7994
Mailing address matches the actual address.
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: 2021-02-03
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 |
|---|---|---|---|---|
| I20210203000126 | I | Registered Dietitian Or Nutrition Professional | VA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face wi | 146 | 13 | $0 |
| 97803 | Therapy procedure reassessment for nutrition management, each 15 minutes | 60 | 15 | $0 |
| 97802 | Therapy procedure for nutrition management, each 15 minutes | 45 | 11 | $0 |
Insurance plans in this area (ZIP 23185)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Registered Dietitian Or Nutrition Professional | VA | |
| Registered Dietitian Or Nutrition Professional | CT | |
| Registered Dietitian Or Nutrition Professional | VA | |
| Registered Dietitian Or Nutrition Professional | VA | |
| Registered Dietitian Or Nutrition Professional | VA | |
| Registered Dietitian Or Nutrition Professional | TX | |
| Registered Dietitian Or Nutrition Professional | VA | |
| - | VA | |
| - | VA | |
| Registered Dietitian Or Nutrition Professional | VA |
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