MAYLY THOR RD, LD
NPI 1487367017
Dietitian, Registered in Brooklyn Center, MN
About Mayly Thor Rd, Ld NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAYLY THOR RD, LD (NPI 1487367017) is an individual dietitian, registered in Brooklyn Center, Minnesota, licensed in Minnesota (1930) and active in the NPI registry since December 2022. She is a graduate of Other (1996).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mayly Thor Rd, Ld is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Mayly Thor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Brooklyn Center, MN 55430
- Reassigned Medicare billing, Minnesota enrollment
- 2,274 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55430 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROOKLYN CENTER, MN 55430
BROOKLYN CENTER, MN 55430
BROOKLYN CENTER, MN 55430
BROOKLYN CENTER, MN 55430
BROOKLYN CENTER, MN 55430
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 Mayly Thor's NPI number?
The NPI number for Mayly Thor is 1487367017. It was assigned to this individual provider in the NPPES registry on December 28, 2022.
Where is Mayly Thor located?
Mayly Thor practices at 6200 Shingle Creek Pkwy Ste 250, Brooklyn Center, MN 55430. The listed phone number is (763) 299-6431.
What is Mayly Thor's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Mayly Thor enrolled in Medicare?
Yes. Mayly Thor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Mayly Thor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mayly Thor reassigns Medicare benefits to Group Health, Inc. (Brooklyn Center, 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 Mayly Thor'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 Mayly Thor was last updated on January 5, 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.
# Mayly Thor, RD, LD · NPI 1487367017
Dietitian, Registered provider in Brooklyn Center, Minnesota. Individual provider, active in the CMS NPPES registry since December 28, 2022.
## Identity
- **NPI:** 1487367017 (Entity type: Individual)
- **Enumerated:** December 28, 2022
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** 1930 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 6200 SHINGLE CREEK PKWY STE 250, Brooklyn Center, MN 55430-2107
- **Phone:** (763) 299-6431
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Group Health, Inc. (NPI 1073667051, Brooklyn Center, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** January 5, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1487367017) · Data from the CMS NPPES public registry.