LINDSI NICOLE GJETLEY (RD, LD) – Registered Dietitian, NPI 1154567907
Registered Dietitian
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
529 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in TX
Provider Addresses for LINDSI NICOLE GJETLEY (RD, LD)
568 COOPER ST
GRAND PRAIRIE, TX 750523400
Phone: (214) 680-4823
Type: Mailing
9101 N CENTRAL EXPY STE 370
DALLAS, TX 752315947
Phone: (214) 820-8220
Type: Location
2200, West Illinois Avenue, Commercial Bank, Midland, Midland County, Texas, 79701, United States
MIDLAND, TX 797016407
Phone: (432) 522-3397
Fax: (432) 522-3096
Type: Mailing
Midland Memorial Hospital West Campus, 4214, Andrews Highway, Radio Plaza, Midland, Midland County, Texas, 79703, United States
SUITE 101
MIDLAND, TX 797034822
Phone: (432) 522-3397
Fax: (432) 522-3096
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: 2009-02-10
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 |
|---|---|---|---|---|
| I20090210000501 | I | Registered Dietitian Or Nutrition Professional | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75052)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | TX | |
| Nurse Practitioner | TX | |
| Internal Medicine | TX | |
| - | TX | |
| - | TX | |
| Clinical Social Worker | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Orthopedic Surgery | TX | |
| Clinical Psychologist | TX |
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