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STEFANIE KAITLYN JENSEN RD, LD
NPI 1003556622
Dietitian, Registered in Saint Paul, MN

Active since March 31, 2022
2265 COMO AVE, SAINT PAUL, MN 55108(888) 364-5977 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Stefanie Kaitlyn Jensen Rd, Ld NPPES

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

STEFANIE KAITLYN JENSEN RD, LD (NPI 1003556622) is an individual dietitian, registered in Saint Paul, Minnesota, licensed in (86168535) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1003556622
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameSTEFANIE KAITLYN JENSENCredential: RD, LD
Location Address2265 COMO AVESaint Paul, MN 55108-1737
Mailing Address900 Hoyt Ave WSaint Paul, MN 55117-3301 · (515) 314-6079
Phone(888) 364-5977
Sole ProprietorNo
Enumeration DateMarch 31, 2022
NPPES CertifiedMarch 30, 2022
✔ NPI 1003556622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed · 86168535
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.
2265 COMO AVE, Saint Paul, MN 55108
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stefanie Kaitlyn Jensen Rd, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Stefanie Jensen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emily Program P C
Same address
Mental Health (Including Community Mental Health Center)
2265 COMO AVENUE, SUITE 100
St Paul, MN 55108
  • Reassigned Medicare billing, Minnesota enrollment
  • 121 clinicians in this Medicare group
NPI 1528165065 (866) 364-5977

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MICHAEL HILMAR WAGNER R.D., L.D.
Nutritionist
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (888) 364-5977
MISS KELLY PERTZSCH MA
Counselor (Professional)
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (651) 645-5325
KRISTA WANOUS MA, MFT, AT
Student in an Organized Health Care Education/Training Program
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (651) 645-5323
LINNEA MCCOSH
Marriage & Family Therapist
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (888) 364-5977
ARIEL SYVERTSON
Counselor (Professional)
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (888) 364-5977
DEANNA MILLER
Dietitian, Registered
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (651) 645-5323
LINDSEY STIYER RD
Dietitian, Registered
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (651) 645-5323
MS. SHEILA LOUISE THOMAS L.P.
Psychologist
2265 COMO AVE, SUITE 201
SAINT PAUL, MN 55108
Ramsey County (651) 646-8985

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 Stefanie Jensen's NPI number?

The NPI number for Stefanie Jensen is 1003556622. It was assigned to this individual provider in the NPPES registry on March 31, 2022.

Where is Stefanie Jensen located?

Stefanie Jensen practices at 2265 Como Ave, Saint Paul, MN 55108. The listed phone number is (888) 364-5977.

What is Stefanie Jensen's specialty?

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

Is Stefanie Jensen enrolled in Medicare?

Yes. Stefanie Jensen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stefanie Jensen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stefanie Jensen reassigns Medicare benefits to Emily Program P C (St Paul, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stefanie Jensen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stefanie Jensen was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.