Mrs Tracy Mindiola, RD - Medicare Dietitian in Maple Grove, MN

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Mrs Tracy Mindiola, RD is a medicare enrolled "Dietitian, Registered" provider in Maple Grove, Minnesota. Her current practice location is 12488 74th Ave N, Maple Grove, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 267-2015.

Mrs Tracy Mindiola is licensed to practice in Minnesota (license number 4379) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1457084154.

Contact Information

Mrs Tracy Mindiola, RD
12488 74th Ave N,
Maple Grove, MN 55369-5285
(763) 267-2015
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Tracy Mindiola
GenderFemale
SpecialityDietitian, Registered
Location12488 74th Ave N, Maple Grove, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457084154
  • Provider Enumeration Date: 07/08/2022
  • Last Update Date: 09/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3779939061
  • Enrollment ID: I20231023002221

Medical Identifiers

Medical identifiers for Mrs Tracy Mindiola such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457084154NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 4379 (Minnesota)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Tracy Mindiola allows following entities to bill medicare on her behalf.
Provider NameFamelia, Inc.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1013892801
PECOS PAC ID: 7315424967
Enrollment ID: O20260126000607

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tracy Mindiola is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Tracy Mindiola, RD
12488 74th Ave N,
Maple Grove, MN 55369-5285

Ph: (763) 267-2015		Mrs Tracy Mindiola, RD
12488 74th Ave N,
Maple Grove, MN 55369-5285

Ph: (763) 267-2015

Reviews and Comments


Dietitian, Registered in Maple Grove, MN

Persevere Wellness Llc
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 12488 74th Ave N, Maple Grove, MN 55369
Phone: 763-267-2015    
Barbara I Benson, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 14500 99th Ave N, Maple Grove, MN 55369
Phone: 763-898-1073    
Nicole Doering, RD, LD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 11157 Meadow View Ln, Maple Grove, MN 55311
Phone: 612-719-0645    
Jennifer Bremer, RD, LD
Dietitian
Medicare: Medicare Enrolled
Practice Location: 14500 99th Ave N, Maple Grove, MN 55369
Phone: 763-898-1000    
Joy Nieves Anderson, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 9630 Grove Cir N Ste 200, Maple Grove, MN 55369
Phone: 763-520-7870    Fax: 763-520-7580
Carrie M Reynoso, RD, LD
Dietitian
Medicare: Medicare Enrolled
Practice Location: 14500 99th Ave N, Maple Grove, MN 55369
Phone: 763-898-1000    
Erica Anne Olson, RDN
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 7008 E Fish Lake Rd, Maple Grove, MN 55311
Phone: 303-868-8285    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.