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Active NPI 1467985515 Individual Practitioner Female Practitioner

Shelli Willman , RDN, LD

Dietitian, Registered • Roseburg, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Shelli Willman, RDN, LD is a certified Dietitian, Registered practicing in Roseburg, OR. With approximately 14 years of clinical experience since completing medical education in 2012, Shelli Willman delivers high-quality medical care to the local community at 1813 W HARVARD AVE STE 438.

Shelli Willman accepts Medicare assignment.

Frequently performed procedures and clinical services include medical nutrition therapy, assessment and intervention, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1813 W Harvard Ave Ste 438

Roseburg, OR 974718705

Telephone 5419006989
Associated Practice Facility / Clinic
🏢 Kids & Company Inc Facility NPI 1033770938

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Roseburg, OR

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs -3.3 yrs vs City Avg
City Avg: 17.3 Yrs
State Avg: 15.5 Yrs
Regional Practice Density
25 Specialists

Practicing in Roseburg, OR (941 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
49.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Willman (14 Years) 14 Yrs
Roseburg Specialty Average (17.3 Years) 17.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97802 Medical nutrition therapy, assessment and intervention, each 15 minutes
64 12 $59.75 $30.13

Medical Specialties & State Licenses

CMS Verified: 2025-11-13
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License OR LD-D-10195206

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location November 13, 2025

Registered at 1813 W HARVARD AVE STE 438, ROSEBURG, OR 974718705 (Tel: 5419006989)

📍
Updated Practice Location April 17, 2024

Registered at 865 SE COURT AVE STE 4, ROSEBURG, OR 974703372 (Tel: 5419006989)

📍
Updated Business Mailing Address April 17, 2024

Registered at 4410 RIDENOUR ST, ROSEBURG, OR 974701004 (Tel: 5419006989)

📍
Updated Practice Location June 29, 2020

Registered at 913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 974716523 (Tel: 5414401000)

📍
Updated Business Mailing Address June 29, 2020

Registered at PO BOX 1515, MYRTLE CREEK, OR 974570139 (Tel: 4065645071)

👤
Provider Name / Credentials Updated June 29, 2020

Recorded as SHELLI WILLMAN, RDN, LD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2020

Dietitian, Registered (License #LD-D-10195206 in OR)

NPI Profile Active April 05, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 05, 2017

Registered at 715 13TH AVE S, GREAT FALLS, MT 594054364 (Tel: 4065645071)

📍
Updated Business Mailing Address April 05, 2017

Registered at 2317 8TH AVE S, GREAT FALLS, MT 594052934 (Tel: 4065645071)

👤
Provider Name / Credentials Updated April 05, 2017

Recorded as SHELLI WILLMAN, RDN, LN, CLC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2017

Dietitian, Registered (License #44685 in MT)

🟢
Initial NPI Registration & Enumeration April 05, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467985515
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2017
Last Update: November 13, 2025
Sole Proprietor: No

Mailing Address

4410 Ridenour St

Roseburg, OR 974701004

Phone: 5419006989

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.