GREGORY WISONT RDN
NPI 1013692771
Dietitian, Registered in Seatac, WA

Q: What is Gregory Wisont's NPI number?

The NPI number for Gregory Wisont is 1013692771. It was assigned to this individual provider in the NPPES registry on June 20, 2023. The provider is also known as Gregory Wibert.

Q: What is Gregory Wisont's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gregory Wisont was last updated on June 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 20, 2023Accepts Medicare Assignment

12901 20TH AVE S, SEATAC, WA 98168(206) 720-3987(206) 292-2163 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Gregory Wisont Rdn NPPES

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

GREGORY WISONT RDN (NPI 1013692771) is an individual dietitian, registered in Seatac, Washington, licensed in Washington (60974846) and active in the NPI registry since June 2023. He is a graduate of Other (2019).

NPPES Registry Identity

NPI1013692771

Entity TypeIndividualMale

Primary Taxonomy133V00000X

Provider Legal NameGREGORY WISONTCredential: RDN

Location Address12901 20TH AVE SSeatac, WA 98168-5159

Mailing Address16910 Ne 131st PlRedmond, WA 98052-2189 · (360) 969-3698 · Fax (206) 292-2163

Phone(206) 720-3987

Fax(206) 292-2163

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateJune 20, 2023

Last NPPES UpdateJune 21, 2023

NPPES CertifiedJune 21, 2023

✔ NPI 1013692771 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 WA · 60974846

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.

12901 20TH AVE S, Seatac, WA 98168

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Other Names 1

Former Name (1)Gregory Wibert

Other Identifiers 1

Other60974846WA · Cd

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gregory Wisont Rdn 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 ID1456702455

PECOS Enrollment IDI20240103003589

Medicare Billing Reassignment

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

Northwest Kidney Centers

Same address

End-Stage Renal Disease (ESRD) Treatment

12901 20TH AVE S
Seatac, WA 98168

Reassigned Medicare billing, Washington enrollment
4 clinicians in this Medicare group

NPI 1700025038 (206) 923-3562

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98168 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 $63.67 – $189.37

Typical copayment $0.00 (range $15.91 – $47.34)

Most-billed visit code NA

Established Patient

$111.00 typical visit price

range $21.12 – $155.00

Typical copayment $27.75 (range $5.28 – $38.75)

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.

Other Providers at the Same Location NPPES 9

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

JENNIFER ROTH RD

Dietitian, Registered