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ADRIEN BOUCHER PACZOSA RD, LD
NPI 1700077062
Dietitian, Registered in Austin, TX

Active since August 01, 2007Accepts Medicare Assignment
3724 JEFFERSON ST STE 104, AUSTIN, TX 78731(512) 693-7045(888) 423-9961 Get Directions Write a Review

NPPES record last updated: May 8, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Adrien Boucher Paczosa Rd, Ld NPPES

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

ADRIEN BOUCHER PACZOSA RD, LD (NPI 1700077062) is an individual dietitian, registered in Austin, Texas, licensed in Texas (DT80445) and active in the NPI registry since August 2007. She is a graduate of Other (2005).

NPPES Registry Identity

NPI1700077062
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameADRIEN BOUCHER PACZOSACredential: RD, LD
Location Address3724 JEFFERSON ST STE 104Austin, TX 78731-6204
Mailing Address3724 Jefferson St Ste 104Austin, TX 78731-6204 · (512) 693-7045 · Fax (888) 423-9961
Phone(512) 693-7045
Fax(888) 423-9961
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 1, 2007
Last NPPES UpdateMay 8, 2020
NPPES CertifiedMay 8, 2020
✔ NPI 1700077062 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 TX · DT80445
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.
3724 JEFFERSON ST STE 104, Austin, TX 78731
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Providence Health Plan, Regence BlueCross BlueShield of Oregon.Insurance ›

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

Adrien Boucher Paczosa 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.

PECOS PAC ID6305277914
PECOS Enrollment IDI20260129001570

Medicare Billing Reassignment

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

Dandelion Nutrition LLC
1,767 mi
Dietitian, Registered
4405 7TH AVE SE, SUITE 200, PMB 1962
Lacey, WA 98503
  • Reassigned Medicare billing, Washington enrollment
  • 15 clinicians in this Medicare group
NPI 1285046292 (206) 799-7010

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 78731 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $57.88 – $174.00
Typical copayment $0.00 (range $14.47 – $43.50)
Most-billed visit code NA
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

GABRIELLE PALMERI MDN, RD, LDN
Dietitian, Registered
3724 JEFFERSON ST STE 104
AUSTIN, TX 78731
Travis County (412) 692-7699
NAOMI LIANA OETKEN RDN
Dietitian, Registered
3724 JEFFERSON ST STE 104
AUSTIN, TX 78731
Travis County (512) 693-7045
ABBYGAIL HICKS FRANKLIN
Dietitian, Registered
3724 JEFFERSON ST STE 104
AUSTIN, TX 78731
Travis County (901) 361-8992
LAUREN NICOLE INCARNATO
Dietitian, Registered
3724 JEFFERSON ST STE 104
AUSTIN, TX 78731
Travis County (512) 693-7045
DANA ARBURR RD
Dietitian, Registered
3724 JEFFERSON ST STE 104
AUSTIN, TX 78731
Travis County (860) 478-5472
BAILIE GARDNER
Dietitian, Registered
3724 JEFFERSON ST STE 104
AUSTIN, TX 78731
Travis County (512) 693-7045
SANDRA WILLIAMS MDA, RD, LD
Dietitian, Registered
3724 JEFFERSON ST STE 104
AUSTIN, TX 78731
Travis County (512) 399-9039
SAVANNAH WIERENGA MS, RDN, LDN
Dietitian, Registered
3724 JEFFERSON ST STE 104
AUSTIN, TX 78731
Travis County (512) 693-7045

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 Adrien Paczosa's NPI number?

The NPI number for Adrien Paczosa is 1700077062. It was assigned to this individual provider in the NPPES registry on August 1, 2007.

Where is Adrien Paczosa located?

Adrien Paczosa practices at 3724 Jefferson St Ste 104, Austin, TX 78731. The listed phone number is (512) 693-7045.

What is Adrien Paczosa's specialty?

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

Is Adrien Paczosa enrolled in Medicare?

Yes. Adrien Paczosa 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 Adrien Paczosa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adrien Paczosa reassigns Medicare benefits to Dandelion Nutrition LLC (Lacey, WA). 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 Adrien Paczosa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adrien Paczosa accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Adrien Paczosa 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 Adrien Paczosa was last updated on May 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.