CARRIE M REYNOSO RD, LD
NPI 1295061026
Dietitian, Registered in Maple Grove, MN

Q: What is Carrie Reynoso's NPI number?

The NPI number for Carrie Reynoso is 1295061026. It was assigned to this individual provider in the NPPES registry on October 29, 2009.

Q: What is Carrie Reynoso'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 Carrie Reynoso was last updated on December 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 October 29, 2009

86.51/100

CMS Quality Rating

14500 99TH AVE N, MAPLE GROVE, MN 55369(763) 898-1000 Get Directions Write a Review

NPPES record last updated: December 11, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Carrie M Reynoso Rd, Ld NPPES

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

CARRIE M REYNOSO RD, LD (NPI 1295061026) is an individual dietitian, registered in Maple Grove, Minnesota, licensed in Minnesota (2851) and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1295061026

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameCARRIE M REYNOSOCredential: RD, LD

Location Address14500 99TH AVE NMaple Grove, MN 55369-4730

Mailing Address14500 99th Ave N # ThavenMaple Grove, MN 55369-4730 · (763) 898-1000

Phone(763) 898-1000

Sole ProprietorNo

Enumeration DateOctober 29, 2009

Last NPPES UpdateDecember 11, 2018

✔ NPI 1295061026 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 MN · 2851

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.

14500 99TH AVE N, Maple Grove, MN 55369

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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)

Carrie M Reynoso Rd, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

Medicare enrollment records show Carrie Reynoso reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairview Clinics

Same address

Multi-Specialty

14500 99TH AVE N, STE 100
Maple Grove, MN 55369

Reassigned Medicare billing, Minnesota enrollment
2,302 clinicians in this Medicare group

NPI 1841315165 (763) 898-1000

Fairview Express Care

Same address

Medical Oncology

14500 99TH AVE N, STE LL200
Maple Grove, MN 55369

Reassigned Medicare billing, Minnesota enrollment
3,633 clinicians in this Medicare group

NPI 1255105011 (855) 324-7843

Fairview Health Services

16 mi

General Acute Care Hospital

2450 RIVERSIDE AVE
Minneapolis, MN 55454

Reassigned Medicare billing, Minnesota enrollment
4,038 clinicians in this Medicare group

NPI 1013994359 (612) 672-6000

Touchstone Mental Health

16 mi

Community/Behavioral Health

2312 SNELLING AVE
Minneapolis, MN 55404

Reassigned Medicare billing, Minnesota enrollment

NPI 1598899007 (612) 874-6409

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.51/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

82.59

Promoting Interoperability

100

Improvement Activities

Cost

67.96

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.

HEATHER LAGE RN, CDE

Registered Nurse (Diabetes Educator)

14500 99TH AVE N
MAPLE GROVE, MN 55369

Hennepin County (763) 898-1000

SARAH NICOLE OLSON VENNING LICSW

Social Worker (Clinical)

14500 99TH AVE N
MAPLE GROVE, MN 55369

Hennepin County (651) 600-0342

MS. RENEE HAROLDSON OTRL CHT

Occupational Therapist (Hand)

14500 99TH AVE N, #1-210
MAPLE GROVE, MN 55369

Hennepin County (763) 898-1778

BARBARA I BENSON RD

Dietitian, Registered

14500 99TH AVE N
MAPLE GROVE, MN 55369

Hennepin County (763) 898-1073

DR. JENNIFER MERTZ RIEGEL PHARM.D

Pharmacist

14500 99TH AVE N
MAPLE GROVE, MN 55369

Hennepin County (763) 898-1806

DR. MICHAELA MONETTI PH.D., LP

Psychologist (Clinical)

14500 99TH AVE N
MAPLE GROVE, MN 55369

Hennepin County (763) 898-1000

KATTI LAUREN WOERNER D.O

Internal Medicine (Nephrology)

14500 99TH AVE N, MEDICAL SPECIALTY CLINIC
MAPLE GROVE, MN 55369

Hennepin County (763) 898-1000

FAIRVIEW PHARMACY SERVICES LLC

Non-Pharmacy Dispensing Site

14500 99TH AVE N
MAPLE GROVE, MN 55369

Hennepin County (763) 898-1000

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 Carrie Reynoso's NPI number?

The NPI number for Carrie Reynoso is 1295061026. It was assigned to this individual provider in the NPPES registry on October 29, 2009.

Where is Carrie Reynoso located?

Carrie Reynoso practices at 14500 99th Ave N, Maple Grove, MN 55369. The listed phone number is (763) 898-1000.

What is Carrie Reynoso's specialty?

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

Is Carrie Reynoso enrolled in Medicare?

Yes. Carrie Reynoso is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carrie Reynoso's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carrie Reynoso reassigns Medicare benefits to 4 organizations: Fairview Clinics (Maple Grove, MN), Fairview Express Care (Maple Grove, MN), Fairview Health Services (Minneapolis, MN) and Touchstone Mental Health (Minneapolis, MN). Each 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 Carrie Reynoso'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 Carrie Reynoso was last updated on December 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.