MARY A STEFFENSMEIER – Sports Dietetics Nutrition Registered Dietitian, NPI 1053029967

MARY A STEFFENSMEIER is a healthcare provider. based in Waterloo, Iowa. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold a License No. 00803 (IA). The NPI Number for MARY A STEFFENSMEIER is 1053029967

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MARY A STEFFENSMEIER
NPI
1053029967
Phone
(319) 272-5859
Address
3421 W 9TH ST
Enumeration Date
9 November 2022
Last Update Date
9 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
3779953450
Group Practice PAC ID
0244148732
Professional Enrollment ID
I20221222000470
Address ID
IA507025620WA2710XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

62 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in IA

Provider Addresses for MARY A STEFFENSMEIER

  • 3421 W 9TH ST

    WATERLOO, IA 507025401

    Phone: (319) 272-5859

    Fax: (319) 272-5470

    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: 2022-12-22

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
I20221222000470IRegistered Dietitian Or Nutrition ProfessionalIATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 50702)

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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: 0244148732View full group profile
NameSpecialtyState
-IA
Gastroenterology, Internal MedicineIA
Nurse PractitionerIA
-IA
Nurse PractitionerIA
Physician AssistantIA
-IN
Orthopedic SurgeryIA
Family PracticeIA
Family PracticeIA

Reviews

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Frequently asked questions

How is MARY A STEFFENSMEIER identified in CMS data?
CMS-hosted NPPES data lists MARY A STEFFENSMEIER with NPI 1053029967.
Is MARY A STEFFENSMEIER listed as active for patients and plans?
The listing shows MARY A STEFFENSMEIER as active in the NPI system.
What taxonomy line describes MARY A STEFFENSMEIER?
For research purposes, treat MARY A STEFFENSMEIER as Sports Dietetics Nutrition Registered Dietitian in this dataset. Clinical services aligned with this taxonomy classification.
What area does MARY A STEFFENSMEIER serve?
MARY A STEFFENSMEIER's listing highlights Waterloo, Iowa; more addresses can appear in NPPES.
Is the information about MARY A STEFFENSMEIER up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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