MRS. TRACY MINDIOLA RD
NPI 1457084154
Dietitian, Registered in Maple Grove, MN

Q: What is Tracy Mindiola's NPI number?

The NPI number for Tracy Mindiola is 1457084154. It was assigned to this individual provider in the NPPES registry on July 8, 2022.

Q: What is Tracy Mindiola'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 Tracy Mindiola was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 July 08, 2022

12488 74TH AVE N, MAPLE GROVE, MN 55369(763) 267-2015 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Mrs. Tracy Mindiola Rd NPPES

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

MRS. TRACY MINDIOLA RD (NPI 1457084154) is an individual dietitian, registered in Maple Grove, Minnesota, licensed in Minnesota (4379) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1457084154

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMRS. TRACY MINDIOLACredential: RD

Location Address12488 74TH AVE NMaple Grove, MN 55369-5285

Mailing Address12488 74th Ave NMaple Grove, MN 55369-5285 · (763) 267-2015

Phone(763) 267-2015

Sole ProprietorNo

Enumeration DateJuly 8, 2022

Last NPPES UpdateSeptember 12, 2023

NPPES CertifiedSeptember 12, 2023

✔ NPI 1457084154 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 · 4379

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.

12488 74TH AVE N, Maple Grove, MN 55369

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tracy Mindiola Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

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

Famelia, Inc.

11 mi

Dietitian, Registered

121 WASHINGTON AVE N FL 2
Minneapolis, MN 55401

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

NPI 1013892801 (302) 386-3653

Nourish, Inc.

1,046 mi

Dietitian, Registered

3724 JEFFERSON ST STE 104
Austin, TX 78731

Reassigned Medicare billing, Texas enrollment
487 clinicians in this Medicare group

NPI 1558097824 (512) 693-7045

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

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

PERSEVERE WELLNESS LLC

Dietitian, Registered

12488 74TH AVE N
MAPLE GROVE, MN 55369

Hennepin County (763) 267-2015

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 Tracy Mindiola's NPI number?

The NPI number for Tracy Mindiola is 1457084154. It was assigned to this individual provider in the NPPES registry on July 8, 2022.

Where is Tracy Mindiola located?

Tracy Mindiola practices at 12488 74th Ave N, Maple Grove, MN 55369. The listed phone number is (763) 267-2015.

What is Tracy Mindiola's specialty?

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

Is Tracy Mindiola enrolled in Medicare?

Yes. Tracy Mindiola is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tracy Mindiola's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Mindiola reassigns Medicare benefits to 2 organizations: Famelia, Inc. (Minneapolis, MN) and Nourish, Inc. (Austin, TX). 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 Tracy Mindiola's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tracy Mindiola accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield and Blue Cross and Blue Shield of Texas and 5 other insurers list Tracy Mindiola 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 Tracy Mindiola was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.