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Rocio Petersen , MS, RDN

Dietitian, Registered β€’ Salem, OR

Active NPI 1982094645 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

3896 Beverly Ave Ne Ste 40
Salem, OR 973051374

Call 5035880076 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

3896 Beverly Ave Ne Ste 40

Salem, OR 973051374

Telephone 5035880076
Fax 5036558595
Organization at the Same NPPES Address or Phone
Yakima Valley Farm Workers Clinic Facility NPI 1972684710

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

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Yakima Valley Farm Workers Clinic. See the list

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Graduation Year

2013

Years since graduation

13 years (graduated 2013)

CMS Doctors and Clinicians data list 2013 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

NPI first issued

2015

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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, CMS release of October 2, 2026; 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, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Rocio Petersen 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 Salem and Oregon

29 active clinicians are listed under Dietitian, Registered with a practice address in Salem, OR (941 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Salem

0% of these 29 clinicians have the CMS telehealth indicator.

6.9% of these 29 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, 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: 2023-10-11
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES OR LD-D-10196306

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: Oregon Medical Board.
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

I20231025000594

Enrollment State Jurisdiction

OR

PECOS Control ID

7517313752

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

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Yakima Valley Farm Workers Clinic

255 Lancaster Dr Ne, Salem, OR 973015155

Phone: 5035768400

Clinicians Sharing This Practice Address or Phone

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

10 listed
Mckenna Chandler , PA-S

Physician Assistant

NPI 1053934026

PAS

Mary Gibson , NP

Nurse Practitioner - Community Health

NPI 1346301918

Nurse Practitioner

Roberto Guillen , PA-C

Physician Assistant

NPI 1881746196

Physician Assistant (Certified)

Kyle Johnstone , RDH

Dental Hygienist

NPI 1801178744

Registered Dental Hygienist

Andrea Nunez Morales

Family Medicine

NPI 1528566221
NPI 1063691608

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

11 Historical Events
πŸ“
Updated Practice Location October 11, 2023

Registered at 3896 BEVERLY AVE NE STE 40, SALEM, OR 973051374 (Tel: 5035880076)

πŸ“
Updated Business Mailing Address October 11, 2023

Registered at 3896 BEVERLY AVE NE STE 40, SALEM, OR 973051374 (Tel: 5035880076)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2023

Dietitian, Registered (license number reported to NPPES: OR LD-D-10196306)

πŸ“
Updated Practice Location December 19, 2018

Registered at 110 BEAVERCREEK RD STE 100, OREGON CITY, OR 970454307 (Tel: 5036558471)

πŸ“
Updated Business Mailing Address December 19, 2018

Registered at 2051 KAEN RD STE 367, OREGON CITY, OR 970454035 (Tel: 5037425300)

βœ…
NPI Profile Active February 02, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 02, 2015

Registered at 2205 W LINCOLN AVE, YAKIMA, WA 989022437 (Tel: 5092490477)

πŸ“
Business Mailing Address (Initial Record) February 02, 2015

Registered at 2205 W LINCOLN AVE, YAKIMA, WA 989022437 (Tel: 5092490477)

πŸ‘€
Provider Name / Credentials (Initial Record) February 02, 2015

Recorded as ROCIO PETERSEN, MS, RDN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2015

Dietitian, Registered (license number reported to NPPES: WA DI 60492034)

🟒
Initial NPI Registration & Enumeration February 02, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1982094645
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 02, 2015
Last Update: October 11, 2023
Sole Proprietor: No

Mailing Address

3896 Beverly Ave Ne Ste 40

Salem, OR 973051374

Phone: 5035880076

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.