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

Q: 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.

Q: What is Elliot Mezera'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 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 9 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.

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: August 09, 2026.

On this page

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 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

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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

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.

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