TINA MARIE ANDERSON (RD,LDN, MPH, CDE) – Nutritionist, NPI 1235536293
Nutritionist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
311 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in IL
Provider Addresses for TINA MARIE ANDERSON (RD,LDN, MPH, CDE)
801 S WASHINGTON ST
NAPERVILLE, IL 605407430
Phone: (630) 646-6721
Type: Mailing
801 S Washington St
Naperville, IL 605407430
Phone: (630) 646-6721
Type: Location
501 DEL PRADO BLVD S
CAPE CORAL, FL 339902618
Phone: (239) 424-3120
Type: Location
PO BOX 2147
FORT MYERS, FL 339022147
Phone: (239) 424-3120
Type: Mailing
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.
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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: 2022-04-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220404002098 | I | Registered Dietitian Or Nutrition Professional | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0109 | Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes | 890 | 123 | $0 |
| 97802 | Therapy procedure for nutrition management, each 15 minutes | 156 | 33 | $0 |
Insurance plans in this area (ZIP 60540)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| R H E U M A T O L O G Y | FL | |
| Nurse Practitioner | FL | |
| Critical Care (Intensivists), Pediatric Medicine | FL | |
| General Surgery | MI | |
| N E U R O L O G Y | MO | |
| Medical Genetics And Genomics | MI | |
| Nurse Practitioner | FL | |
| Family Practice | FL | |
| General Surgery | FL | |
| Family Practice | FL |
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