Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Brooke Lauren Mack, RDN

Individual provider Registered Dietitian · NPI 1962174821

Brooke Lauren Mack, RDN is registered under Registered Dietitian OR Nutrition Professional in Otsego, Minnesota. Qualified in 2022, 4 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 3 locations and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2021
Specialties on file
2
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

See every abbreviation used in this directory →

Practice location Address checks out

14767 74th St NE
Otsego, MN 55330-6722
Phone: (763) 688-1376
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6385 Old Shady Oak Rd Ste 250, Eden Prairie, MN 55344-7705 — (507) 320-4610
  • 11670 Fountains Dr N Ste 200, Maple Grove, MN 55369-7235 — (507) 320-4610

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X
Registered Dietitian Taxonomy 133V00000X · Licence 86177040

Record details

NPI number1962174821
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN
Sole proprietorYes
NPI enumeratedSeptember 29, 2021
Last updated in NPPESOctober 27, 2026
Certification dateOctober 27, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Colleagues at Park Nicollet Clinic

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1773 clinicians in the practice; 12 are shown here.

Other providers in Otsego