Individual provider Active NPI

Natalie K Mathiowetz, RD

  • Registered Dietitian
  • Redwood Falls, MN
National Provider Identifier
1952861809
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
3602 Issued in MN
Practice address
1100 E Broadway St
Redwood Falls, MN 56283-2247
Phone
(507) 697-2985
Fax
(507) 697-6656
NPI assigned
Mar 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 3602 MN Primary

Addresses

Primary practice location

1100 E Broadway St
Redwood Falls, MN 56283-2247

Mailing address

1100 E Broadway St
Redwood Falls, MN 56283-2247
Phone (507) 697-2985

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nmathiowetz440357@direct.centracare.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190430002527 MN Practitioner - Registered Dietitian Or Nutrition Professional 7012259666 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centracare Clinic Southwest LLC 172 clinicians

Practice addresses (Care Compare)

1604 1St St S
Willmar, MN 56201-4243
Phone (320) 231-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3602MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Redwood Area Hospital Current Accepting new patients
Carris Health - Redwood LLC CurrentSince Jul 14, 2019 Accepting new patients
Innovations for Aging, LLC CurrentSince Feb 1, 2023 Accepting new patients
Carris Health - Redwood LLC CurrentSince Jul 14, 2019 Accepting new patients
Centracare Clinic Southwest LLC CurrentSince Nov 4, 2023 Accepting new patients
Swift County Benson Hospital Current Accepting new patients
Carris Health - Redwood LLC Current Accepting new patients
Centracare Health - Benson LLC CurrentSince May 1, 2023 Accepting new patients
Centracare Clinic Southwest LLC CurrentSince Nov 4, 2023 Accepting new patients
Centracare Health - Benson LLC Current Accepting new patients

Locations

1815 Wisconsin Ave
Benson, MN 56215
Phone (320) 843-3454

600 Peterson Pkwy
New London, MN 56273
Phone (320) 354-2222

101 Caring Way
Redwood Falls, MN 56283
Phone (507) 637-2911

1100 E Broadway St
Redwood Falls, MN 56283
Phone (507) 637-2985

101 Willmar Ave SW
Willmar, MN 56201
Phone (320) 231-5079

1604 1st St S
Willmar, MN 56201
Phone (320) 231-5039

Organizations & group practices 10

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": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1952861809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E BROADWAY ST",
            "city": "REDWOOD FALLS",
            "state": "MN",
            "postal_code": "562832247",
            "telephone_number": "507-697-2985",
            "fax_number": "507-697-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E BROADWAY ST",
            "city": "REDWOOD FALLS",
            "state": "MN",
            "postal_code": "562832247",
            "telephone_number": "507-697-2985",
            "fax_number": "507-697-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIOWETZ",
        "first_name": "NATALIE",
        "middle_name": "K",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "3602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nmathiowetz440357@direct.centracare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "nmathiowetz440357@direct.centracare.com",
            "address_1": "1100 E Broadway St",
            "city": "Redwood Falls",
            "state": "MN",
            "country_code": "US",
            "postal_code": "562832247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Redwood Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.