Samantha Raye Lelko, MS, RD, LD, CCTD
NPI 1255092144ActiveIndividual· Dietitian, Registered· Jacksonville, FL
Dietitian, Registered (MS, RD, LD, CCTD) with Mayo Clinic Jacksonville, practicing in Jacksonville, Florida. Medicare paid $705.19 for services to 24 patients in 2024.
Overview
| NPI | 1255092144 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, RD, LD, CCTD |
| Sole proprietor | No |
| NPI issued | Jan 4, 2022 |
| Last updated in NPPES | Jan 4, 2022 |
| Certified by provider | Jan 4, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | ND10258 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 24 |
|---|---|
| Services billed | 32 across 3 procedure codes |
| Paid by Medicare | $705.19 |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
| Telehealth | Offers telehealth |
Medical group
- Mayo Clinic JacksonvilleJacksonville, FL · 1,615 clinicians
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