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Jacklyn Grace Jensen , RD

Dietitian, Registered β€’ Bellevue, WA

Active NPI 1932862091 Individual Practitioner Female Practitioner
Practice location in NPPES

14604 Ne 42nd Pl Apt N405
Bellevue, WA 980073135

Call 4357314079 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

14604 Ne 42nd Pl Apt N405

Bellevue, WA 980073135

Telephone 4357314079
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Coeur D Alene, ID. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

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

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2021

Years since graduation

5 years (graduated 2021)

CMS Doctors and Clinicians data list 2021 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.

NPI first issued

2021

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.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

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; 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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jacklyn Jensen 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 Bellevue and Washington

94 active clinicians are listed under Dietitian, Registered with a practice address in Bellevue, WA (2,134 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bellevue

1.1% of these 94 clinicians have the CMS telehealth indicator.

5.3% of these 94 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, 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: 2022-10-13
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES WA DI61202063

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.

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES ID D-1292

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: Washington State Department of Health Provider Lookup.
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

I20251029002615

Enrollment State Jurisdiction

WA

PECOS Control ID

6103219449

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

Secondary Practice Locations

2003 Kootenai Health Way

Coeur D Alene, ID 838146051

Phone: 2086254000

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Practice Location October 13, 2022

Registered at 14604 NE 42ND PL APT N405, BELLEVUE, WA 980073135 (Tel: 4357314079)

πŸ“
Updated Business Mailing Address October 13, 2022

Registered at 14604 NE 42ND PL APT N405, BELLEVUE, WA 980073135 (Tel: 4357314079)

βœ…
NPI Profile Active October 15, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 15, 2021

Registered at 2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 838146051 (Tel: 2086254000)

πŸ“
Business Mailing Address (Initial Record) October 15, 2021

Registered at 2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 838146051 (Tel: 2086254000)

πŸ‘€
Provider Name / Credentials (Initial Record) October 15, 2021

Recorded as JACKLYN JENSEN, RD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2021

Dietitian, Registered (license number reported to NPPES: ID D-1292)

🟒
Initial NPI Registration & Enumeration October 15, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1932862091
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 15, 2021
Last Update: October 13, 2022
Sole Proprietor: Yes

Other Dietitian, Registereds in Bellevue

Healthcare providers in Bellevue

Mailing Address

14604 Ne 42nd Pl Apt N405

Bellevue, WA 980073135

Phone: 4357314079

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.