JULIE DZIK ANDERSON RD
NPI 1619618055
Dietitian, Registered in Chaska, MN

Active since April 06, 2022
111 HUNDERTMARK RD, CHASKA, MN 55318(952) 777-5778 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Julie Dzik Anderson Rd NPPES

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

JULIE DZIK ANDERSON RD (NPI 1619618055) is an individual dietitian, registered in Chaska, Minnesota, licensed in Minnesota (14455) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1619618055
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameJULIE DZIK ANDERSONCredential: RD
Location Address111 HUNDERTMARK RDChaska, MN 55318-4551
Mailing Address14345 Guthrie AveApple Valley, MN 55124-6757 · (612) 437-1405
Sole ProprietorNo
Enumeration DateApril 6, 2022
NPPES CertifiedApril 5, 2022
✔ NPI 1619618055 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 · 14455
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.
111 HUNDERTMARK RD, Chaska, MN 55318

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Julie Dzik Anderson Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

General Acute Care Hospital
111 HUNDERTMARK RD
Chaska, MN 55318
  • Reassigned Medicare billing, Minnesota enrollment
  • 581 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.

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.

Allergy & Immunology
111 HUNDERTMARK RD
CHASKA, MN 55318
Nurse Practitioner (Pediatrics)
111 HUNDERTMARK RD, #420
CHASKA, MN 55318
Clinic/Center (Dental)
111 HUNDERTMARK RD, SUITE 304N
CHASKA, MN 55318
Clinic/Center (Ambulatory Surgical)
111 HUNDERTMARK RD, SUITE 340
CHASKA, MN 55318
Pediatrics
111 HUNDERTMARK RD, #420
CHASKA, MN 55318
Nurse Practitioner (Family)
111 HUNDERTMARK RD
CHASKA, MN 55318
Family Medicine
111 HUNDERTMARK RD, TWO TWELVE MEDICAL CENTER, STE. 220
CHASKA, MN 55318
Physician Assistant
111 HUNDERTMARK RD
CHASKA, MN 55318

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 Julie Anderson's NPI number?

The NPI number for Julie Anderson is 1619618055. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Where is Julie Anderson located?

Julie Anderson practices at 111 Hundertmark Rd, Chaska, MN 55318. The listed phone number is (952) 777-5778.

What is Julie Anderson's specialty?

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

Is Julie Anderson enrolled in Medicare?

Yes. Julie Anderson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Julie Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Julie Anderson reassigns Medicare benefits to Ridgeview Medical Center (Chaska, 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 Julie Anderson'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 Julie Anderson was last updated on April 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.