MARY MAUREEN BAZILLE RD
NPI 1700042702
Nutritionist in Minneapolis, MN

Active since July 30, 2008Accepts Medicare Assignment
82.34/100
CMS Quality Rating
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 273-4395 Get Directions Write a Review

NPPES record last updated: December 28, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Maureen Bazille Rd NPPES

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

MARY MAUREEN BAZILLE RD (NPI 1700042702) is an individual nutritionist in Minneapolis, Minnesota, licensed in Virginia (994556) and active in the NPI registry since July 2008. She is a graduate of Other (2005).

NPPES Registry Identity

NPI1700042702
Entity TypeIndividualFemale
Primary Taxonomy133N00000X
Provider Legal NameMARY MAUREEN BAZILLECredential: RD
Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454-1450
Mailing Address2450 Riverside AveMinneapolis, MN 55454-1450 · (612) 273-4395
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 30, 2008
Last NPPES UpdateDecember 28, 2010
NPI 1700042702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNutritionistDietary & Nutritional Service Providers
Taxonomy Code133N00000X
License Licensed in VA · 994556
Definition
A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.
2450 RIVERSIDE AVE, Minneapolis, MN 55454

Other Identifiers 1

Medicaid004909976VA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary Maureen Bazille Rd 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.

PECOS PAC ID2466637368
PECOS Enrollment IDI20110419000467

Areas of Expertise CMS Part B claims

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.
37 services18 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.54
Promoting Interoperability100
Improvement Activities40
Cost38.17

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.

Rehabilitation Practitioner
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Pediatrics
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Internal Medicine (Geriatric Medicine)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Dietitian, Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Nurse Practitioner (Pediatrics, Critical Care)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Internal Medicine
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Physician Assistant
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Nurse Anesthetist, Certified Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454

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 Mary Bazille's NPI number?

The NPI number for Mary Bazille is 1700042702. It was assigned to this individual provider in the NPPES registry on July 30, 2008.

Where is Mary Bazille located?

Mary Bazille practices at 2450 Riverside Ave, Minneapolis, MN 55454. The listed phone number is (612) 273-4395.

What is Mary Bazille's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

Is Mary Bazille enrolled in Medicare?

Yes. Mary Bazille 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.

What insurance does Mary Bazille accept?

Health plans from Medica list Mary Bazille 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 Mary Bazille was last updated on December 28, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.