Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kelli Robertson

Individual provider Registered Dietitian · NPI 1003417064

Kelli Robertson is registered under Registered Dietitian OR Nutrition Professional in Evansville, Indiana. Qualified in 2011, 15 years ago. Practices with St Marys Medical Group LLC, a 228-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
15
Licensed in
IN
In the registry since
2020
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Practice location Address checks out

3700 Washington Ave
Evansville, IN 47714-0541
Phone: (812) 485-4098
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 37002149A (IN)

Record details

NPI number1003417064
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 5, 2020
Last updated in NPPESNovember 5, 2020
Certification dateNovember 5, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice St Marys Medical Group Llc — 228 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at St Marys Medical Group LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 228 clinicians in the practice; 12 are shown here.

Other providers in Evansville