STACI CORTELEZZI MS, RDN, LD
NPI 1760089411
Dietitian, Registered in Cleveland, OH

Q: What is Staci Cortelezzi's NPI number?

The NPI number for Staci Cortelezzi is 1760089411. It was assigned to this individual provider in the NPPES registry on October 6, 2020.

Q: What is Staci Cortelezzi'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 Staci Cortelezzi was last updated on August 4, 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 October 06, 2020

18780 BAGLEY RD STE 108, CLEVELAND, OH 44130(440) 816-2330 Get Directions Write a Review

NPPES record last updated: August 4, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 9, 2021, Oct 6, 2020 (2 updates tracked since 2020).

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About Staci Cortelezzi Ms, Rdn, Ld NPPES

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

STACI CORTELEZZI MS, RDN, LD (NPI 1760089411) is an individual dietitian, registered in Cleveland, Ohio, licensed in Ohio (LD.08300) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1760089411

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameSTACI CORTELEZZICredential: MS, RDN, LD

Location Address18780 BAGLEY RD STE 108Cleveland, OH 44130-3304

Mailing AddressPo Box 638269Cincinnati, OH 45263-8269

Phone(440) 816-2330

Sole ProprietorNo

Enumeration DateOctober 6, 2020

Last NPPES UpdateAugust 4, 20232 updates tracked since enumeration

NPPES CertifiedAugust 4, 2023

✔ NPI 1760089411 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 OH · LD.08300

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.

18780 BAGLEY RD STE 108, Cleveland, OH 44130

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Texas, BridgeSpan Health Company 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)

Staci Cortelezzi Ms, Rdn, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Nourish, Inc.

1,171 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 6

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

LESLIE LANG KELLER PRISTAS D.O.

Surgery

18780 BAGLEY RD STE 108
CLEVELAND, OH 44130

Cuyahoga County (440) 816-2330

MRS. COLLEEN ELIZABETH RUNDLE PA-C

Physician Assistant

18780 BAGLEY RD STE 108
MIDDLEBURG HEIGHTS, OH 44130

Cuyahoga County (440) 816-2330

CHRISTINE MICELI PA-C

Physician Assistant

18780 BAGLEY RD STE 108
CLEVELAND, OH 44130

Cuyahoga County (440) 816-2330

ANITA MAXIMIN PSY D

Psychologist (Clinical)

18780 BAGLEY RD STE 108
CLEVELAND, OH 44130

Cuyahoga County (440) 816-2330

CYNTHIA L ARON RD

Dietitian, Registered

18780 BAGLEY RD STE 108
CLEVELAND, OH 44130

Cuyahoga County (440) 816-2330

DAWN CUPACH NURSE PRACTITIONER

Nurse Practitioner (Family)

18780 BAGLEY RD STE 108
CLEVELAND, OH 44130

Cuyahoga County (440) 816-2330

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 Staci Cortelezzi's NPI number?

The NPI number for Staci Cortelezzi is 1760089411. It was assigned to this individual provider in the NPPES registry on October 6, 2020.

Where is Staci Cortelezzi located?

Staci Cortelezzi practices at 18780 Bagley Rd Ste 108, Cleveland, OH 44130. The listed phone number is (440) 816-2330.

What is Staci Cortelezzi's specialty?

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

Is Staci Cortelezzi enrolled in Medicare?

Yes. Staci Cortelezzi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Staci Cortelezzi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Staci Cortelezzi reassigns Medicare benefits to Nourish, Inc. (Austin, TX). 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 Staci Cortelezzi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Staci Cortelezzi accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Texas, BridgeSpan Health Company, Molina Healthcare and Regence BlueCross BlueShield of Oregon list Staci Cortelezzi 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 Staci Cortelezzi was last updated on August 4, 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.