JENNA BANNON MS, RD, CDN
NPI 1003157546
Dietitian, Registered in Bay Shore, NY

Active since March 08, 2013Accepts Medicare Assignment
91.25/100
CMS Quality Rating
301 E MAIN ST, BAY SHORE, NY 11706(631) 968-3593 Get Directions Write a Review

NPPES record last updated: March 8, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jenna Bannon Ms, Rd, Cdn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNA BANNON MS, RD, CDN (NPI 1003157546) is an individual dietitian, registered in Bay Shore, New York, licensed in New York (0074641) and active in the NPI registry since March 2013. She is a graduate of Other (2010).

NPPES Registry Identity

NPI1003157546
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameJENNA BANNONCredential: MS, RD, CDN
Location Address301 E MAIN STBay Shore, NY 11706-8408
Mailing Address202 Cassa LoopHoltsville, NY 11742-2609
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMarch 8, 2013
NPI 1003157546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License Licensed in NY · 0074641
Definition

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.

301 E MAIN ST, Bay Shore, NY 11706

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jenna Bannon Ms, Rd, Cdn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577707249
PECOS Enrollment IDI20130919000087

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure for nutrition management, each 15 minutes 97802
This is a 15-minute session focused on managing your nutrition. A professional will assess your dietary habits and provide personalized advice to improve your health. It can help manage weight, control chronic diseases, and promote overall wellbeing.
260 services76 patients
Therapy procedure reassessment for nutrition management, each 15 minutes 97803
This is a process where a healthcare professional reviews your nutritional needs every 15 minutes. It's part of managing your diet to ensure optimal health. The review may involve adjusting your meal plans, evaluating your body's response to certain foods, and monitoring your overall nutrition status.
113 services31 patients
Diabetes outpatient self-management training services, individual, per 30 minutes G0108
This service involves personalized training sessions, each lasting 30 minutes, to help manage diabetes. It includes guidance on monitoring blood sugar, healthy eating, physical activity, medication usage, and dealing with daily challenges of living with diabetes.
47 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11706 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospitalist
301 E MAIN ST
BAY SHORE, NY 11706
Anesthesiology
301 E MAIN ST
BAY SHORE, NY 11706
Occupational Therapist
301 E MAIN ST
BAY SHORE, NY 11706
Nurse Anesthetist, Certified Registered
301 E MAIN ST
BAY SHORE, NY 11706
Physician Assistant (Surgical)
301 E MAIN ST
BAY SHORE, NY 11706
Student in an Organized Health Care Education/Training Program
301 E MAIN ST
BAY SHORE, NY 11706
Emergency Medicine
301 E MAIN ST
BAY SHORE, NY 11706
Emergency Medicine
301 E MAIN ST
BAY SHORE, NY 11706

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenna Bannon's NPI number?

The NPI number for Jenna Bannon is 1003157546. It was assigned to this individual provider in the NPPES registry on March 8, 2013.

Where is Jenna Bannon located?

Jenna Bannon practices at 301 E Main St, Bay Shore, NY 11706. The listed phone number is (631) 968-3593.

What is Jenna Bannon's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Jenna Bannon enrolled in Medicare?

Yes. Jenna Bannon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jenna Bannon was last updated on March 8, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.