Active NPI
Elliot David Mezera, BS, RD, LD, CD
- Registered Dietitian
- Minneapolis, MN
National Provider Identifier
1285501411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3820
- Practice address
- 2430 Nicollet Ave
Minneapolis, MN 55404-3461 - Phone
- (612) 871-7443
- NPI assigned
- Oct 22, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 3067-29 | WI | |
| Registered Dietitian | 133V00000X | 3820 | MN | Primary |
Addresses
Primary practice location
2430 Nicollet Ave
Minneapolis, MN 55404-3461
Mailing address
6304 W 39TH St
Minneapolis, MN 55416-2705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- University of Wisconsin School of Medicine, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1836 S Ave
La Crosse, WI 54601
1836 S Ave
La Crosse, WI 54601-5429
Hospital & facility affiliations
- Gundersen Lutheran Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3820 | MN | MD | Registered Dietitian |
| 3067-29 | WI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- La Crosse, WI
- NPI 1225873458
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- La Crosse, WI
- NPI 1376593442
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Onalaska, WI
- NPI 1871837567
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761091200000",
"number": "1285501411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6304 W 39TH ST",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554162705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2430 NICOLLET AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554043461",
"telephone_number": "612-871-7443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEZERA",
"first_name": "ELLIOT",
"middle_name": "DAVID",
"credential": "BS, RD, LD, CD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-22",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "3067-29",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "3820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.