Shelly Renee Wildenberg, MS, RD, CD
NPI 1568767655ActiveIndividual· Dietitian, Registered· Rice Lake, WI
Dietitian, Registered (MS, RD, CD) in Rice Lake, Wisconsin, licensed in WI, with an NPI issued in January 2011.
Overview
| NPI | 1568767655 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, RD, CD |
| Sole proprietor | No |
| NPI issued | Jan 20, 2011 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 00965973 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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