1. Home
  2. Directory
  3. New York
  4. Pittsford
  5. Dietitian Registered
  6. NPI Profile

JACQUELYN KEICHER RDN
NPI 1053289272
Dietitian, Registered in Pittsford, NY

Active since October 28, 2025Accepts Medicare Assignment
1151 PITTSFORD VICTOR RD STE 220, PITTSFORD, NY 14534(315) 401-0590 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jacquelyn Keicher Rdn NPPES

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

JACQUELYN KEICHER RDN (NPI 1053289272) is an individual dietitian, registered in Pittsford, New York and active in the NPI registry since October 2025. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1053289272
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameJACQUELYN KEICHERCredential: RDN
Location Address1151 PITTSFORD VICTOR RD STE 220Pittsford, NY 14534-3829
Mailing Address1151 Pittsford Victor Rd Ste 220Pittsford, NY 14534-3829
Phone(315) 401-0590
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 28, 2025
NPPES CertifiedOctober 28, 2025
✔ NPI 1053289272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
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.
1151 PITTSFORD VICTOR RD STE 220, Pittsford, NY 14534
Open in Google Maps ↗

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

Jacquelyn Keicher 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 ID42702813
PECOS Enrollment IDI20251120000415

Medicare Billing Reassignment

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

Sarah Lynn Nutrition
61 mi
Dietitian, Registered
5100 W GENESEE ST
Camillus, NY 13031
  • Reassigned Medicare billing, New York enrollment
  • 50 clinicians in this Medicare group
NPI 1730851346 (315) 334-2306

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 14534 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 $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 2

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

KATHRYN MARILYN PAGE RDN, LD
Dietitian, Registered
1151 PITTSFORD VICTOR RD STE 220
PITTSFORD, NY 14534
Monroe County (315) 401-0590
LILLIAN CECILE ZINN
Dietitian, Registered
1151 PITTSFORD VICTOR RD STE 220
PITTSFORD, NY 14534
Monroe County (585) 704-5705

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 Jacquelyn Keicher's NPI number?

The NPI number for Jacquelyn Keicher is 1053289272. It was assigned to this individual provider in the NPPES registry on October 28, 2025.

Where is Jacquelyn Keicher located?

Jacquelyn Keicher practices at 1151 Pittsford Victor Rd Ste 220, Pittsford, NY 14534. The listed phone number is (315) 401-0590.

What is Jacquelyn Keicher's specialty?

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

Is Jacquelyn Keicher enrolled in Medicare?

Yes. Jacquelyn Keicher 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.

Which organization bills Medicare for Jacquelyn Keicher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn Keicher reassigns Medicare benefits to Sarah Lynn Nutrition (Camillus, NY). 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 Jacquelyn Keicher'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 Jacquelyn Keicher was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.