NANCY WALDBILLIG – Registered Dietitian, NPI 1205862786

NANCY WALDBILLIG is a healthcare provider. based in Minneapolis, Minnesota. specializing in Registered Dietitian. They hold a License No. LD1998 (MN). The NPI Number for NANCY WALDBILLIG is 1205862786

Main info

Female
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
NANCY WALDBILLIG
NPI
1205862786
Phone
Not provided
Address
6465 WAYZATA BLVD
Enumeration Date
24 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529932400
Graduation Year
1986 (40 years ago)
PAC ID
2769574441
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20070827000145
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for NANCY WALDBILLIG

  • Wayzata Blvd, South Wayzata Boulevard, Minneapolis, Hennepin County, Minnesota, 55416, United States

    STE315

    MINNEAPOLIS, MN 554261728

    Phone:

    Type: Mailing

  • 3800, Park Nicollet Boulevard, Elmwood, Saint Louis Park, Hennepin County, Minnesota, 55416, United States

    ST LOUIS PARK, MN 554162527

    Phone: (952) 993-3393

    Type: Location

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: 2007-08-27

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
I20070827000145IRegistered Dietitian Or Nutrition ProfessionalMNTBD

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 minutes4411$0
View full utilization report →

Insurance plans in this area (ZIP 55426)

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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: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physician AssistantMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

How do I look up NANCY WALDBILLIG by NPI?
Use NPI 1205862786 when you need to reference NANCY WALDBILLIG in forms, claims, or directories.
Is NANCY WALDBILLIG's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does NANCY WALDBILLIG work in?
You can think of NANCY WALDBILLIG as practicing within Registered Dietitian. Clinical services aligned with this taxonomy classification.
Where is NANCY WALDBILLIG's primary listing?
We display Minneapolis, Minnesota because that is what the record indicates for NANCY WALDBILLIG.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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