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MADELINE RENE GLAZOS RDN, LD
NPI 1316410624
Dietitian, Registered in St Louis Park, MN

Active since January 09, 2019
5354 PARKDALE DR, ST LOUIS PARK, MN 55416(320) 267-0585 Get Directions Write a Review

NPPES record last updated: January 9, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Madeline Rene Glazos Rdn, Ld NPPES

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

MADELINE RENE GLAZOS RDN, LD (NPI 1316410624) is an individual dietitian, registered in St Louis Park, Minnesota, licensed in Minnesota (4018) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1316410624
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMADELINE RENE GLAZOSCredential: RDN, LD
Location Address5354 PARKDALE DRSt Louis Park, MN 55416-1603
Mailing Address172 6th St E Apt 1107Saint Paul, MN 55101-1976 · (320) 267-0585
Phone(320) 267-0585
Sole ProprietorYes
Enumeration DateJanuary 9, 2019
✔ NPI 1316410624 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 · 4018
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.
5354 PARKDALE DR, St Louis Park, MN 55416
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madeline Rene Glazos Rdn, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Emily Program P C
7.6 mi
Mental Health (Including Community Mental Health Center)
2265 COMO AVENUE, SUITE 100
St Paul, MN 55108
  • Reassigned Medicare billing, Minnesota enrollment
  • 121 clinicians in this Medicare group
NPI 1528165065 (866) 364-5977

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 20

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

SHANIA VAUPEL
Counselor (Professional)
5354 PARKDALE DR
ST LOUIS PARK, MN 55416
Hennepin County (888) 364-5977
KENNEDY HANEY-GOELZ MS RDN LD
Dietitian, Registered
5354 PARKDALE DR
MINNEAPOLIS, MN 55416
Hennepin County (888) 364-5977
JENNIE LASKOW LPCC
Counselor (Professional)
5354 PARKDALE DR, SUITE 200
ST LOUIS PARK, MN 55416
Hennepin County (651) 645-5323
EMILY JOYCE DAHLE LICSW
Social Worker (Clinical)
5354 PARKDALE DR
MINNEAPOLIS, MN 55416
Hennepin County (866) 821-0281
COURTNEY LEE TATE RD
Dietitian, Registered
5354 PARKDALE DR
MINNEAPOLIS, MN 55416
Hennepin County (888) 364-5977
OLIVIA RICELLI MS, RD, LD
Dietitian, Registered
5354 PARKDALE DR
MINNEAPOLIS, MN 55416
Hennepin County (888) 364-5977
ADDISON REIMER MS, RD
Dietitian, Registered
5354 PARKDALE DR
MINNEAPOLIS, MN 55416
Hennepin County (440) 670-6700
MS. CODY L GRANDA M.S., LMFT
Marriage & Family Therapist
5354 PARKDALE DR, SECOND FLOOR
MINNEAPOLIS, MN 55416
Hennepin County (651) 645-5323

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 Madeline Glazos's NPI number?

The NPI number for Madeline Glazos is 1316410624. It was assigned to this individual provider in the NPPES registry on January 9, 2019.

Where is Madeline Glazos located?

Madeline Glazos practices at 5354 Parkdale Dr, St Louis Park, MN 55416. The listed phone number is (320) 267-0585.

What is Madeline Glazos's specialty?

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

Is Madeline Glazos enrolled in Medicare?

Yes. Madeline Glazos is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Madeline Glazos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madeline Glazos reassigns Medicare benefits to Emily Program P C (St Paul, MN). 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 Madeline Glazos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madeline Glazos accept?

Health plans from Medica list Madeline Glazos 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 Madeline Glazos was last updated on January 9, 2019. 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.