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AMANDA MARIE HALLS RD
NPI 1801264742
Dietitian, Registered in Lake City, MN

Active since September 09, 2015
500 W GRANT ST, LAKE CITY, MN 55041(651) 345-1187 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 18, 2025, Sep 29, 2020 (2 updates tracked since 2020).

About Amanda Marie Halls Rd NPPES

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

AMANDA MARIE HALLS RD (NPI 1801264742) is an individual dietitian, registered in Lake City, Minnesota, licensed in Minnesota (3601) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1801264742
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameAMANDA MARIE HALLSCredential: RD
Location Address500 W GRANT STLake City, MN 55041-1143
Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (651) 345-3321
Phone(651) 345-1187
Sole ProprietorNo
Enumeration DateSeptember 9, 2015
Last NPPES UpdateFebruary 18, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2025
✔ NPI 1801264742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Licenses✔ Licensed in MN · 3601✔ Licensed in MN · 994439
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.
500 W GRANT ST, Lake City, MN 55041
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Other Names 1

Former Name (1)Amanda Marie Leisenheimer Rd

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Marie Halls Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Mayo Clinic Health System-Lake City
Same address
Critical Access
500 W GRANT ST
Lake City, MN 55041
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1164463659 (Minnesota)
  • 675 clinicians in this Medicare group
NPI 1538113022 (651) 345-3321

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.

DENNIS CHARLES SPANO M.D.
Family Medicine
500 W GRANT ST
LAKE CITY, MN 55041
Wabasha County (651) 345-3321
DR. RANDY M FOSS MD
Family Medicine
500 W GRANT ST
LAKE CITY, MN 55041
Wabasha County (651) 345-3321
BRANDON CHARLES VOTH DPT
Physical Therapist (Orthopedic)
500 W GRANT ST
LAKE CITY, MN 55041
Wabasha County (651) 345-3321
REBEKAH RICHTER DPT
Physical Therapist
500 W GRANT ST
LAKE CITY, MN 55041
Wabasha County (651) 345-1129
KATHERINE LILLIE LOFBERG FNP-C
Nurse Practitioner
500 W GRANT ST
LAKE CITY, MN 55041
Wabasha County (651) 345-3321
LISA JOLEE WIMMER
Nurse Practitioner (Family)
500 W GRANT ST
LAKE CITY, MN 55041
Wabasha County (651) 345-3321
MAYO CLINIC HEALTH SYSTEM-LAKE CITY
Clinic/Center (Multi-Specialty)
500 W GRANT ST
LAKE CITY, MN 55041
Wabasha County (651) 345-3321
DEBORAH JANE ANDERSON ANP,C
Nurse Practitioner (Adult Health)
500 W GRANT ST
LAKE CITY, MN 55041
Wabasha County (651) 345-3321

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 Amanda Halls's NPI number?

The NPI number for Amanda Halls is 1801264742. It was assigned to this individual provider in the NPPES registry on September 9, 2015. The provider is also known as Amanda Marie Leisenheimer Rd.

Where is Amanda Halls located?

Amanda Halls practices at 500 W Grant St, Lake City, MN 55041. The listed phone number is (651) 345-1187.

What is Amanda Halls's specialty?

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

Is Amanda Halls enrolled in Medicare?

Yes. Amanda Halls is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Halls's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Halls reassigns Medicare benefits to Mayo Clinic Health System-Lake City (Lake City, 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 Amanda Halls's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Halls accept?

Health plans from Sanford Health Plan list Amanda Halls 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 Amanda Halls was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.