Individual provider Active NPI

Mary Ellen McInerney, RD

  • Registered Dietitian
  • Geneva, IL
National Provider Identifier
1841060589
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164005493 Issued in IL
Practice address
431 Wakefield LN
Geneva, IL 60134-1006
Phone
(314) 550-3727
NPI assigned
Jan 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X LD007886 GA
Registered Dietitian 133V00000X 164005493 IL Primary

Addresses

Primary practice location

431 Wakefield LN
Geneva, IL 60134-1006

Mailing address

431 Wakefield LN
Geneva, IL 60134-1006
Phone (314) 550-3727

Other practice location 1

1800 Phoenix Blvd
Suite 128-12 PMB 1532
Atlanta, GA 30349-5593
Phone (844) 359-8363

Other practice location 2

1001 Fischer Blvd
Ste 3 PMB 1048
Toms River, NJ 08753
Phone (844) 359-8363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251119005144 OR Practitioner - Registered Dietitian Or Nutrition Professional 6709378557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

431 Wakefield LN
Geneva, IL 60134-1006

9450 SW Gemini Dr
Beaverton, OR 97008-7105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
164005493ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Strategic Nutrition Dietitian, Registered CurrentSince Sep 7, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1841060589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 WAKEFIELD LN",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601341006",
            "telephone_number": "314-550-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 WAKEFIELD LN",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601341006",
            "telephone_number": "314-550-3727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Phoenix Blvd",
            "address_2": "Suite 128-12 PMB 1532",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303495593",
            "country_code": "US",
            "telephone_number": "844-359-8363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Fischer Blvd",
            "address_2": "Ste 3 PMB 1048",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "08753",
            "country_code": "US",
            "telephone_number": "844-359-8363",
            "fax_number": "833-929-3520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCINERNEY",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-04",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "GA",
            "license": "LD007886",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164005493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.

Verify at the official NPI Registry.