Ellisa Nyberg, MS, RDN, LN, LD in Sioux Falls, SD - Medicare Dietitian, Registered Provider

Ellisa Nyberg, MS, RDN, LN, LD is a medicare enrolled "Dietitian, Registered" provider in Sioux Falls, South Dakota. Her current practice location is 1417 N Dubuque Ave, Sioux Falls, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 359-1065.

Ellisa Nyberg is licensed to practice in South Dakota (license number 0219) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1538711213.

Contact Information

	Ellisa Nyberg, MS, RDN, LN, LD
	1417 N Dubuque Ave, Sioux Falls, SD 57110-6402
	(605) 359-1065
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ellisa Nyberg
Gender	Female
Speciality	Dietitian, Registered
Location	1417 N Dubuque Ave, Sioux Falls, South Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538711213
Provider Enumeration Date: 07/12/2019
Last Update Date: 07/12/2019

Medicare PECOS Information:

PECOS PAC ID: 2769384908
Enrollment ID: I20240520000930

Medical Identifiers

Medical identifiers for Ellisa Nyberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538711213	NPI	-	NPPES
11282001	Medicaid	SD
11282001	Other	SD	UMR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	2298 (Minnesota)	Secondary
133V00000X	Dietitian, Registered	0219 (South Dakota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ellisa Nyberg allows following entities to bill medicare on her behalf.

Provider Name	Comprehensive Nutrition Solutions Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1700643996 PECOS PAC ID: 1254772445 Enrollment ID: O20240520000835

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ellisa Nyberg is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ellisa Nyberg, MS, RDN, LN, LD 1417 N Dubuque Ave, Sioux Falls, SD 57110-6402 Ph: (605) 359-1065	Ellisa Nyberg, MS, RDN, LN, LD 1417 N Dubuque Ave, Sioux Falls, SD 57110-6402 Ph: (605) 359-1065

Reviews and Comments

Dietitian, Registered in Sioux Falls, SD

Gavin Van De Walle, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1601 E 77th St Apt 1428, Sioux Falls, SD 57108 Phone: 605-323-7222
Haley Ashlyn Gallman, Dietitian Medicare: Medicare Enrolled Practice Location: 1321 W 22nd St, Sioux Falls, SD 57105 Phone: 605-404-4319
Hy-vee Health Pc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3000 S Minnesota Ave, Sioux Falls, SD 57105 Phone: 515-225-2930
Allison Lutz, RD, LN, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2501 W 22nd St, Sioux Falls, SD 57105 Phone: 605-336-3230
Mrs. Tiffany Kay Krogstad, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 1310 W 22nd St Ste Ll, Sioux Falls, SD 57105 Phone: 605-328-8670
Dana Kurtz, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1905 W 57th St Ste 1, Sioux Falls, SD 57108 Phone: 605-310-2000
Morgan Taylor Vander Zee, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4805 S Tribbey Trl, Sioux Falls, SD 57106 Phone: 605-323-5663

Ellisa Nyberg, MS, RDN, LN, LD - Medicare Dietitian in Sioux Falls, SD