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RACHEL FOG RD, LD, CDCES
NPI 1407139868
Dietitian, Registered in Minnetonka, MN

Active since September 22, 2011
14001 RIDGEDALE DR STE 200, MINNETONKA, MN 55305(952) 249-2000 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 10, 2024, Dec 30, 2015 (2 updates tracked since 2015).

About Rachel Fog Rd, Ld, Cdces NPPES

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

RACHEL FOG RD, LD, CDCES (NPI 1407139868) is an individual dietitian, registered in Minnetonka, Minnesota, licensed in Minnesota (3087) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1407139868
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameRACHEL FOGCredential: RD, LD, CDCES
Location Address14001 RIDGEDALE DR STE 200Minnetonka, MN 55305-1747
Mailing Address5437 185th Ct NeColumbus, MN 55092-4402 · (651) 468-9207
Phone(952) 249-2000
Sole ProprietorNo
Enumeration DateSeptember 22, 2011
Last NPPES UpdateOctober 10, 20242 updates tracked since enumeration
NPPES CertifiedOctober 10, 2024
✔ NPI 1407139868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in MN · 3087
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.
Also ListedDietitian, Registered · Nutrition, PediatricTaxonomy 133VN1004X · License 3087 (MN)
14001 RIDGEDALE DR STE 200, Minnetonka, MN 55305
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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)

Rachel Fog Rd, Ld, Cdces is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

5

Medicare enrollment records show Rachel Fog reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairview Express Care
4.7 mi
Pediatrics
17705 HUTCHINS DR STE 100
Minnetonka, MN 55345
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
NPI 1215703186 (952) 401-8300
Fairview Clinics
7.0 mi
Primary Care
3033 EXCELSIOR BLVD, STE 275
Minneapolis, MN 55416
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,302 clinicians in this Medicare group
NPI 1447442132 (612) 827-4751
Fairview Health Services
8.6 mi
General Acute Care Hospital
6401 FRANCE AVE S
Edina, MN 55435
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
NPI 1699752915 (952) 924-5000
Premier Obgyn Of Minnesota PLLC
8.7 mi
Obstetrics & Gynecology
3625 W. 65TH STREET, SUITE 100
Edina, MN 55435
  • Reassigned Medicare billing, Minnesota enrollment
  • 111 clinicians in this Medicare group
NPI 1801946223 (952) 920-7001
Fairview Specialty Services
11 mi
Physical Therapy
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,373 clinicians in this Medicare group
NPI 1043199334 (855) 324-7843

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 8

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

KALE JO KRUSE WHNP
Nurse Practitioner (Women's Health)
14001 RIDGEDALE DR STE 200
MINNETONKA, MN 55305
Hennepin County (952) 249-2000
AVRI ANN BOCK PA-C
Physician Assistant (Medical)
14001 RIDGEDALE DR STE 200
MINNETONKA, MN 55305
Hennepin County (952) 249-2000
NATALIA WIATROS DO
Obstetrics & Gynecology
14001 RIDGEDALE DR STE 200
MINNETONKA, MN 55305
Hennepin County (952) 249-2000
DR. ALESHA N ROACH M.D.
Obstetrics & Gynecology
14001 RIDGEDALE DR STE 200
MINNETONKA, MN 55305
Hennepin County (952) 249-2000
ASHLEY CAROL ANDERSEN M.D.
Obstetrics & Gynecology
14001 RIDGEDALE DR STE 200
MINNETONKA, MN 55305
Hennepin County (952) 249-2000
MATTHEW THOMAS BIGOS M.D.
Obstetrics & Gynecology
14001 RIDGEDALE DR STE 200
MINNETONKA, MN 55305
Hennepin County (952) 249-2000
JARED MATHEW GROOTWASSINK MD
Obstetrics & Gynecology
14001 RIDGEDALE DR STE 200
MINNETONKA, MN 55305
Hennepin County (952) 249-2000
DR. ZOE ELLEN SAYLER MD
Obstetrics & Gynecology
14001 RIDGEDALE DR STE 200
MINNETONKA, MN 55305
Hennepin County (763) 458-7058

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 Rachel Fog's NPI number?

The NPI number for Rachel Fog is 1407139868. It was assigned to this individual provider in the NPPES registry on September 22, 2011.

Where is Rachel Fog located?

Rachel Fog practices at 14001 Ridgedale Dr Ste 200, Minnetonka, MN 55305. The listed phone number is (952) 249-2000.

What is Rachel Fog's specialty?

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

Is Rachel Fog enrolled in Medicare?

Yes. Rachel Fog is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Rachel Fog's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Fog reassigns Medicare benefits to 5 organizations: Fairview Express Care (Minnetonka, MN), Fairview Clinics (Minneapolis, MN), Fairview Health Services (Edina, MN), Premier Obgyn Of Minnesota PLLC (Edina, MN) and Fairview Specialty Services (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 Rachel Fog'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 Rachel Fog was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.