Kelsey Marie Brewer, MS, RD, CD

Individual provider Active NPI Registered Dietitian · Luck, WI

NPI 1700523701 · NPPES record last updated Jan 26, 2026

Key facts

NPI
1700523701
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
3693-29 (WI)
Practice address
409 E Park Ave
Luck, WI 54853-9085
Phone
(715) 491-2916
NPI assigned
May 19, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3693-29WIMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
No Diet Dietitian, LLC Dietitian, Registered Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 3693-29 WI Yes

Addresses

Primary practice location

409 E Park Ave
Luck, WI 54853-9085

Mailing address

409 E Park Ave
Luck, WI 54853-9085
Phone (715) 491-2916

Other providers in Luck, WI

All providers in Luck, WI · Registered Dietitian in Wisconsin

Sources for this page

Verify at the official NPI Registry.