LYNN ELLEN PRZYSTAC RDN, LDN
NPI 1104452747
Dietitian, Registered in Providence, RI

Q: What is Lynn Przystac's NPI number?

The NPI number for Lynn Przystac is 1104452747. It was assigned to this individual provider in the NPPES registry on March 16, 2020.

Q: What is Lynn Przystac's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Lynn Przystac was last updated on March 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 16, 2020

101 DUDLEY ST DEPT OF, PROVIDENCE, RI 02905(401) 274-1122(401) 453-7572 Get Directions Write a Review

NPPES record last updated: March 16, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Lynn Ellen Przystac Rdn, Ldn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYNN ELLEN PRZYSTAC RDN, LDN (NPI 1104452747) is an individual dietitian, registered in Providence, Rhode Island, licensed in Rhode Island (LDN00217) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1104452747

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameLYNN ELLEN PRZYSTACCredential: RDN, LDN

Location Address101 DUDLEY ST DEPT OFProvidence, RI 02905-2499

Mailing Address101 Dudley St Dept OfProvidence, RI 02905-2499 · (401) 274-1122 · Fax (401) 453-7572

Phone(401) 274-1122

Fax(401) 453-7572

Sole ProprietorNo

Enumeration DateMarch 16, 2020

NPPES CertifiedMarch 16, 2020

✔ NPI 1104452747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in RI · LDN00217

Definition

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.

101 DUDLEY ST DEPT OF, Providence, RI 02905

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lynn Ellen Przystac Rdn, Ldn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Lynn Przystac reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Affinity Physicians LLC

Same address

Anesthesiology

101 DUDLEY STREET, WIH DEPT OF ANESTHESIOLOGY
Providence, RI 02905

Reassigned Medicare billing, Rhode Island enrollment
984 clinicians in this Medicare group

NPI 1053038471 (401) 274-1122

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DOLAPO SEWEDOMO AVUNGBETO MB;BS

Student in an Organized Health Care Education/Training Program

101 DUDLEY ST DEPT OF
PROVIDENCE, RI 02905

Providence County (401) 274-1122

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lynn Przystac's NPI number?

The NPI number for Lynn Przystac is 1104452747. It was assigned to this individual provider in the NPPES registry on March 16, 2020.

Where is Lynn Przystac located?

Lynn Przystac practices at 101 Dudley St Dept Of, Providence, RI 02905. The listed phone number is (401) 274-1122.

What is Lynn Przystac's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Lynn Przystac enrolled in Medicare?

Yes. Lynn Przystac is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lynn Przystac's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lynn Przystac reassigns Medicare benefits to Affinity Physicians LLC (Providence, RI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lynn Przystac's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lynn Przystac was last updated on March 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.