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MINDSHIFT NUTRITION & WELLNESS, LLC
NPI 1255020889
Dietitian, Registered in Las Vegas, NV

Active since May 01, 2023
7251 W LAKE MEAD BLVD STE 300, LAS VEGAS, NV 89128(725) 301-0959(702) 941-9075 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 5, 2025, Jun 19, 2023, May 1, 2023 (3 updates tracked since 2023).

About Mindshift Nutrition & Wellness, Llc NPPES

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

MINDSHIFT NUTRITION & WELLNESS, LLC (NPI 1255020889), doing business as Mindshift Nutrition & Wellness, is a healthcare organization registered as a dietitian, registered in Las Vegas, Nevada and active in the NPI registry since May 2023. The organization lists Jennifer Dawn Miller, Dietitian And Owner, as its authorized official.

NPPES Registry Identity

NPI1255020889
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameMINDSHIFT NUTRITION & WELLNESS, LLC
Location Address7251 W LAKE MEAD BLVD STE 300Las Vegas, NV 89128-8380
Mailing Address3211 Stratford Hall CtLas Vegas, NV 89135-2140 · (702) 817-0385
Phone(725) 301-0959
Fax(702) 941-9075
Organization SubpartNo
Authorized OfficialJennifer Dawn MillerDietitian And Owner · (725) 301-0959
Enumeration DateMay 1, 2023
Last NPPES UpdateJune 5, 20253 updates tracked since enumeration
NPPES CertifiedJune 4, 2025
✔ NPI 1255020889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
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.
7251 W LAKE MEAD BLVD STE 300, Las Vegas, NV 89128
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Other Names 1

Doing Business AsMindshift Nutrition & Wellness

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mindshift Nutrition & Wellness, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mindshift Nutrition & Wellness, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jennifer Derasmo, RD, LD
Registered Dietitian or Nutrition Professional
NPI 1265995054
7251 W LAKE MEAD BLVD STE 300
Las Vegas, NV 89128
(725) 301-0959
✔ Accepts MedicareSame address

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

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 Mindshift Nutrition & Wellness, LLC's NPI number?

The NPI number for Mindshift Nutrition & Wellness, LLC is 1255020889. It was assigned to this organization in the NPPES registry on May 1, 2023. The provider is doing business as Mindshift Nutrition & Wellness.

Where is Mindshift Nutrition & Wellness, LLC located?

Mindshift Nutrition & Wellness, LLC is located at 7251 W Lake Mead Blvd Ste 300, Las Vegas, NV 89128. The listed phone number is (725) 301-0959.

What is Mindshift Nutrition & Wellness, LLC's specialty?

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

Is Mindshift Nutrition & Wellness, LLC enrolled in Medicare?

Yes. Mindshift Nutrition & Wellness, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mindshift Nutrition & Wellness, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Mindshift Nutrition & Wellness, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mindshift Nutrition & Wellness, LLC accept?

Health plans from Ambetter from Arizona Complete Health list Mindshift Nutrition & Wellness, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mindshift Nutrition & Wellness, LLC was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.