Mindfully Well LLC
NPI 1063287241 · Registered Dietitian · Plymouth, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mindfully Well LLC is a Registered Dietitian organization in Plymouth, MN (NPI 1063287241).
Provider details
- NPI number
- 1063287241
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Samantha Hargreaves, Owner(612) 326-4049
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-11-17
- Last updated
- 2023-11-17
- Certified
- 2023-11-17
Frequently asked questions
- What is Mindfully Well LLC's NPI number?
- Mindfully Well LLC's National Provider Identifier (NPI) is 1063287241, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mindfully Well LLC?
- Mindfully Well LLC is classified in the NPPES registry as Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Mindfully Well LLC located?
- Mindfully Well LLC's practice location on file with NPPES is 3500 Vicksburg Ln N # 113, Plymouth, MN 55447-1334.
- What is Mindfully Well LLC's phone number?
- The practice phone number listed in the NPPES registry for Mindfully Well LLC is (612) 326-4049.
- Does Mindfully Well LLC accept Medicare?
- Mindfully Well LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mindfully Well LLC?
- The authorized official listed on Mindfully Well LLC's NPPES record is Samantha Hargreaves, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mindfully Well LLC's NPI active?
- Yes — Mindfully Well LLC's NPI (1063287241) is active in the NPPES registry as of the last update on 2023-11-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.