KAREN ANN REISDORF
NPI 1396302741
Dietitian, Registered in Saint Cloud, MN

Q: What is Karen Reisdorf's NPI number?

The NPI number for Karen Reisdorf is 1396302741. It was assigned to this individual provider in the NPPES registry on May 21, 2019.

Q: What is Karen Reisdorf'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 Karen Reisdorf was last updated on May 21, 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.

Active since May 21, 2019

1900 CENTRACARE CIR, SAINT CLOUD, MN 56303(320) 202-7759 Get Directions Write a Review

NPPES record last updated: May 21, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Karen Ann Reisdorf NPPES

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

KAREN ANN REISDORF (NPI 1396302741) is an individual dietitian, registered in Saint Cloud, Minnesota, licensed in Minnesota (4163) and active in the NPI registry since May 2019. She is a graduate of Other (1983).

NPPES Registry Identity

NPI1396302741

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameKAREN ANN REISDORF

Location Address1900 CENTRACARE CIRSaint Cloud, MN 56303-5000

Mailing Address1900 Centracare CirSaint Cloud, MN 56303-5000 · (320) 202-7759

Phone(320) 202-7759

Sole ProprietorNo

Medical School CMSOtherGraduated 1983

Enumeration DateMay 21, 2019

✔ NPI 1396302741 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 · 4163

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.

1900 CENTRACARE CIR, Saint Cloud, MN 56303

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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)

Karen Ann Reisdorf is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860727054

PECOS Enrollment IDI20190710002221

Medicare Billing Reassignments

Medicare enrollment records show Karen Reisdorf reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Centracare Clinic

Same address

Community Health

1900 CENTRACARE CIR
Saint Cloud, MN 56303

Reassigned Medicare billing, Minnesota enrollment
1,051 clinicians in this Medicare group

NPI 1134665359 (320) 240-2829

St. Cloud Hospital

0.6 mi

Substance Abuse Treatment, Children

1572 CO RD 134
St. Cloud, MN 56303

Reassigned Medicare billing, Minnesota enrollment
415 clinicians in this Medicare group

NPI 1780020925 (320) 251-2700

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Diabetes outpatient self-management training services, individual, per 30 minutes G0108

This service involves personalized training sessions, each lasting 30 minutes, to help manage diabetes. It includes guidance on monitoring blood sugar, healthy eating, physical activity, medication usage, and dealing with daily challenges of living with diabetes.

124 services60 patients

Therapy procedure reassessment for nutrition management, each 15 minutes 97803

This is a process where a healthcare professional reviews your nutritional needs every 15 minutes. It's part of managing your diet to ensure optimal health. The review may involve adjusting your meal plans, evaluating your body's response to certain foods, and monitoring your overall nutrition status.

69 services25 patients

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.

BRADLEY E CURRIER MD

Internal Medicine (Gastroenterology)

1900 CENTRACARE CIR
SAINT CLOUD, MN 56303

Stearns County (320) 240-2205

CLAIRE EMILIE SAUTNER PA-C

Physician Assistant

1900 CENTRACARE CIR
SAINT CLOUD, MN 56303

Stearns County (320) 229-5099

KAMIAB DELFANIAN MD

Internal Medicine

1900 CENTRACARE CIR, SUITE 2400
SAINT CLOUD, MN 56303

Stearns County (320) 229-5099

GARY A WALLINGA PHD LP

Psychologist (Clinical Child & Adolescent)

1900 CENTRACARE CIR, SUITE 1325
SAINT CLOUD, MN 56303

Stearns County (320) 255-5796

DEBORAH LEEDAHL PHARMD

Pharmacist

1900 CENTRACARE CIR
SAINT CLOUD, MN 56303

Stearns County (320) 229-4904

KIRSTIN RISGAARD MS, LCGC

Genetic Counselor, MS

1900 CENTRACARE CIR
SAINT CLOUD, MN 56303

Stearns County (320) 654-3654

HELEN SAWAYA PHD

Psychologist (Clinical)

1900 CENTRACARE CIR
SAINT CLOUD, MN 56303

Stearns County (320) 252-2422

MRS. KAYLA MAE CARLSON RD LD

Dietitian, Registered

1900 CENTRACARE CIR, SUITE 2500
ST CLOUD, MN 56303

Stearns County (320) 229-5000

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 Karen Reisdorf's NPI number?

The NPI number for Karen Reisdorf is 1396302741. It was assigned to this individual provider in the NPPES registry on May 21, 2019.

Where is Karen Reisdorf located?

Karen Reisdorf practices at 1900 Centracare Cir, Saint Cloud, MN 56303. The listed phone number is (320) 202-7759.

What is Karen Reisdorf's specialty?

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

Is Karen Reisdorf enrolled in Medicare?

Yes. Karen Reisdorf is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Karen Reisdorf's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Reisdorf reassigns Medicare benefits to 2 organizations: Centracare Clinic (Saint Cloud, MN) and St. Cloud Hospital (St. Cloud, 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 Karen Reisdorf'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 Karen Reisdorf was last updated on May 21, 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.