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Sam Lucas Scardigli , MS, RD

Dietitian, Registered β€’ Saint Cloud, MN

Active NPI 1639786742 Individual Practitioner Male Practitioner
Practice location in NPPES

1200 6th Ave N
Saint Cloud, MN 563032736

Call 3202402828 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

1200 6th Ave N

Saint Cloud, MN 563032736

Telephone 3202402828
Organization at the Same NPPES Address or Phone
Centracare Clinic Facility NPI 1538696323

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2020

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

Enrolled in Medicare (PECOS)

Sam Scardigli has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

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: 2021-01-11
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

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

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL

Medicare Enrollment ID

I20210126001076

Enrollment State Jurisdiction

MN

PECOS Control ID

1951715325

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Dr. Shawn Day , DO

Family Medicine

NPI 1972549152

Doctor of Osteopathic Medicine (D.O.)

Melissa Kruger , CNP

Nurse Practitioner - Family

NPI 1982320644

Certified Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events
πŸ“
Updated Practice Location January 11, 2021

Registered at 1200 6TH AVE N, SAINT CLOUD, MN 563032736 (Tel: 3202402828)

βœ…
NPI Profile Active September 23, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 23, 2020

Registered at 1600 UNIVERSITY DR N, FARGO, ND 581052502 (Tel: 7635688899)

πŸ“
Business Mailing Address (Initial Record) September 23, 2020

Registered at 512 177TH AVE NW, ANDOVER, MN 553041539 (Tel: 7635688899)

πŸ‘€
Provider Name / Credentials (Initial Record) September 23, 2020

Recorded as SAM SCARDIGLI, MS, RD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2020

Dietitian, Registered

🟒
Initial NPI Registration & Enumeration September 23, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1639786742
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 23, 2020
Last Update: January 11, 2021
Sole Proprietor: No

Other Dietitian, Registereds in Saint Cloud

All Dietitian, Registereds in Saint Cloud

Mailing Address

512 177th Ave Nw

Andover, MN 553041539

Phone: 7635688899

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.