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Active NPI 1457084154 Individual Practitioner Female Practitioner

Tracy Mindiola , RD

Dietitian, Registered • Maple Grove, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Tracy Mindiola, RD is a certified Dietitian, Registered practicing in Maple Grove, MN. With approximately 25 years of clinical experience since completing medical education in 2001, Tracy Mindiola delivers high-quality medical care to the local community at 12488 74TH AVE N.

Tracy Mindiola is affiliated with Nourish, Inc. and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

12488 74th Ave N

Maple Grove, MN 553695285

Telephone 7632672015
Associated Practice Facility / Clinic
🏢 Persevere Wellness Llc Facility NPI 1003544602

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Maple Grove, MN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
25 Yrs +10.0 yrs vs City Avg
City Avg: 15.0 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
14 Specialists

Practicing in Maple Grove, MN (1611 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mindiola (25 Years) 25 Yrs
Maple Grove Specialty Average (15.0 Years) 15.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-09-12
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License MN 4379

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.

Hospital & Practice Group Affiliations

Nourish, Inc.

3724 Jefferson St, Austin, TX 787316204

Phone: 5126937045

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2022

Registered at 12488 74TH AVE N, MAPLE GROVE, MN 553695285 (Tel: 7632672015)

📍
Updated Business Mailing Address July 08, 2022

Registered at 12488 74TH AVE N, MAPLE GROVE, MN 553695285 (Tel: 7632672015)

👤
Provider Name / Credentials Updated July 08, 2022

Recorded as TRACY MINDIOLA, RD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2022

Dietitian, Registered (License #4379 in MN)

🟢
Initial NPI Registration & Enumeration July 08, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457084154
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 08, 2022
Last Update: September 12, 2023
Sole Proprietor: No

Mailing Address

12488 74th Ave N

Maple Grove, MN 553695285

Phone: 7632672015

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.