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Cassandra Elizabeth Pedersen , RD

Dietitian, Registered β€’ Saint Cloud, MN

Active NPI 1730852609 Individual Practitioner Female Practitioner
Practice location in NPPES

501 W Saint Germain Street, 2nd & 3rd Floor
Saint Cloud, MN 563013633

Call 7634868335 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

501 W Saint Germain Street
2nd & 3rd Floor

Saint Cloud, MN 563013633

Telephone 7634868335
Fax 7633436112

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Saint Cloud and Minnesota

59 active clinicians are listed under Dietitian, Registered with a practice address in Saint Cloud, MN (1,591 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Saint Cloud

10.2% of these 59 clinicians have the CMS telehealth indicator.

20.3% of these 59 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-02-16
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES MN 3902

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location February 16, 2026

Registered at 501 W SAINT GERMAIN STREET, 2ND & 3RD FLOOR, SAINT CLOUD, MN 563013633 (Tel: 7634868335)

πŸ“
Updated Business Mailing Address February 16, 2026

Registered at 501 W SAINT GERMAIN STREET, 2ND & 3RD FLOOR, SAINT CLOUD, MN 563013633 (Tel: 7634868335)

βœ…
NPI Profile Active July 27, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 27, 2021

Registered at 555 VICTORY AVE APT 122, SARTELL, MN 563774812 (Tel: 7634868335)

πŸ“
Business Mailing Address (Initial Record) July 27, 2021

Registered at 555 VICTORY AVE APT 122, SARTELL, MN 563774812 (Tel: 7634868335)

πŸ‘€
Provider Name / Credentials (Initial Record) July 27, 2021

Recorded as CASSANDRA PEDERSEN, RD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2021

Dietitian, Registered (license number reported to NPPES: MN 3902)

🟒
Initial NPI Registration & Enumeration July 27, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1730852609
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2021
Last Update: February 16, 2026
Sole Proprietor: Yes

Other Dietitian, Registereds in Saint Cloud

All Dietitian, Registereds in Saint Cloud

Mailing Address

501 W Saint Germain Street, 2nd & 3rd Floor

Saint Cloud, MN 563013633

Phone: 7634868335

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.