1. Home
  2. Directory
  3. Minnesota
  4. Minneapolis
  5. Dietitian Registered
  6. NPI Profile

ELLIOT DAVID MEZERA BS, RD, LD, CD
NPI 1285501411
Dietitian, Registered in Minneapolis, MN

Active since October 22, 2025
2430 NICOLLET AVE, MINNEAPOLIS, MN 55404(612) 871-7443 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Elliot David Mezera Bs, Rd, Ld, Cd NPPES

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

ELLIOT DAVID MEZERA BS, RD, LD, CD (NPI 1285501411) is an individual dietitian, registered in Minneapolis, Minnesota, licensed in Minnesota (3820) and active in the NPI registry since October 2025. He is affiliated with Gundersen Lutheran Medical Center and is a graduate of University Of Wisconsin School Of Medicine (2016).

NPPES Registry Identity

NPI1285501411
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameELLIOT DAVID MEZERACredential: BS, RD, LD, CD
Location Address2430 NICOLLET AVEMinneapolis, MN 55404-3461
Mailing Address6304 W 39th StMinneapolis, MN 55416-2705
Phone(612) 871-7443
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2016
Enumeration DateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
✔ NPI 1285501411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Licenses✔ Licensed in MN · 3820✔ Licensed in WI · 3067-29
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.
2430 NICOLLET AVE, Minneapolis, MN 55404
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elliot David Mezera Bs, Rd, Ld, Cd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264903152
PECOS Enrollment IDI20260602000050

Medicare Billing Reassignment

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

Gundersen Lutheran Medical Center, Inc
128 mi
Clinic/Center
3111 GUNDERSEN DR
Onalaska, WI 54650
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,457 clinicians in this Medicare group
NPI 1225372923 (608) 782-7300

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Gundersen Lutheran Medical Center

Acute Care Hospitals · La Crosse, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520087
Location1910 South AveLa Crosse, WI 54601 · La Crosse County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

DON COLEMAN
Social Worker (Clinical)
2430 NICOLLET AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 871-1454
MELISSA ANN TURESON LICSW
Social Worker (Clinical)
2430 NICOLLET AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 871-1454
CHRISTINA GONZALEZ
Social Worker (Clinical)
2430 NICOLLET AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 767-6324
BRUCE SCHULTZ LMFT
Marriage & Family Therapist
2430 NICOLLET AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 871-1454
DR. SUZANNE LOUIS AOUN M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
2430 NICOLLET AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 871-1454
AARON JAMES NEUMANN LPCC, LMHC, LPC
Counselor (Professional)
2430 NICOLLET AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 871-7443
BIRGITTE EPPEL MA LADC LMFT
Marriage & Family Therapist
2430 NICOLLET AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 871-7443
COLLEEN RAYMOND
Registered Nurse
2430 NICOLLET AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 871-7443

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 Elliot Mezera's NPI number?

The NPI number for Elliot Mezera is 1285501411. It was assigned to this individual provider in the NPPES registry on October 22, 2025.

Where is Elliot Mezera located?

Elliot Mezera practices at 2430 Nicollet Ave, Minneapolis, MN 55404. The listed phone number is (612) 871-7443.

What is Elliot Mezera's specialty?

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

Is Elliot Mezera enrolled in Medicare?

Yes. Elliot Mezera is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elliot Mezera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elliot Mezera reassigns Medicare benefits to Gundersen Lutheran Medical Center, Inc (Onalaska, WI). 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 Elliot Mezera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elliot Mezera accept?

Health plans from Anthem Blue Cross and Blue Shield list Elliot Mezera 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.

Is Elliot Mezera affiliated with any hospitals?

According to CMS data, Elliot Mezera is affiliated with Gundersen Lutheran Medical Center.

When was this NPI record last updated?

The NPPES record for Elliot Mezera was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.