MAMIE FINNEY (RD) – Registered Dietitian, NPI 1174811954

MAMIE FINNEY (RD) is a healthcare provider. based in Bolingbrook, Illinois. specializing in Registered Dietitian. They hold the professional credentials RD. They hold a License No. 164.001818 (IL). The NPI Number for MAMIE FINNEY (RD) is 1174811954

Main info

Female
Sole Proprietor
57 Years Of Experience
Accepts Medicare Assignment
Name
MAMIE FINNEY (RD)
NPI
1174811954
Phone
Not provided
Address
125 MAPLEWOOD DR
Enumeration Date
14 July 2011
Last Update Date
14 July 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7732921940
Graduation Year
1969 (57 years ago)
PAC ID
2961305354
Group Practice PAC ID
0648173120
Professional Enrollment ID
I20040202000274
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for MAMIE FINNEY (RD)

  • 125 MAPLEWOOD DR

    BOLINGBROOK, IL 604402824

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-02-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040202000274IRegistered Dietitian Or Nutrition ProfessionalILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97803Therapy procedure reassessment for nutrition management, each 15 minutes48187$0
97802Therapy procedure for nutrition management, each 15 minutes14027$0
View full utilization report →

Insurance plans in this area (ZIP 60440)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648173120View full group profile
NameSpecialtyState
-MI
-IL
Registered Dietitian Or Nutrition ProfessionalAZ
Registered Dietitian Or Nutrition ProfessionalIL
-IL
-IN
-IL
-IL
Registered Dietitian Or Nutrition ProfessionalIL
-CA

Reviews

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Frequently asked questions

Is MAMIE FINNEY (RD) listed with a National Provider Identifier?
Yes — MAMIE FINNEY (RD) has NPI 1174811954 on file in the registry.
Is MAMIE FINNEY (RD) still an active registrant?
MAMIE FINNEY (RD) carries an active NPI according to the public dataset.
What clinical focus is listed for MAMIE FINNEY (RD)?
At a glance, MAMIE FINNEY (RD) is tied to Registered Dietitian. Clinical services aligned with this taxonomy classification.
Is MAMIE FINNEY (RD) associated with Bolingbrook?
Public fields place MAMIE FINNEY (RD) around Bolingbrook, Illinois. Always confirm the exact site before visiting.
Can I trust this NPI listing for MAMIE FINNEY (RD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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