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JENNIFER M PROUSE RD
NPI 1083797146
Dietitian, Registered in Vancouver, WA

Active since October 23, 2006
400 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664(360) 514-2559(360) 514-3590 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jennifer M Prouse Rd NPPES

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

JENNIFER M PROUSE RD (NPI 1083797146) is an individual dietitian, registered in Vancouver, Washington, licensed in Washington (DI00001264) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1083797146
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameJENNIFER M PROUSECredential: RD
Location Address400 NE MOTHER JOSEPH PLVancouver, WA 98664-3200
Mailing Address400 Ne Mother Joseph PlVancouver, WA 98664-3200
Phone(360) 514-2559
Fax(360) 514-3590
Sole ProprietorNo
Enumeration DateOctober 23, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1083797146 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 · DI00001264
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.
400 NE MOTHER JOSEPH PL, Vancouver, WA 98664
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer M Prouse Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Peacehealth
Same address
General Acute Care Hospital
400 NE MOTHER JOSEPH PL
Vancouver, WA 98664
  • Reassigned Medicare billing, Washington enrollment
  • 244 clinicians in this Medicare group
NPI 1134178999 (360) 256-2000

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.

DR. TYLER JUSTIN PARADIS MD
Anesthesiology
400 NE MOTHER JOSEPH PL
VANCOUVER, WA 98664
Clark County (360) 828-5396
MACKENZIE RHOADES APRN-CNP, PMHNP-BC
Clinical Nurse Specialist (Psychiatric/Mental Health)
400 NE MOTHER JOSEPH PL
VANCOUVER, WA 98664
Clark County (360) 256-2000
ALBERT MATTHEW DICKAN
Psychiatry & Neurology (Psychiatry)
400 NE MOTHER JOSEPH PL
VANCOUVER, WA 98664
Clark County (360) 514-3191
BRADDEN JENSEN MD
Pathology (Anatomic Pathology & Clinical Pathology)
400 NE MOTHER JOSEPH PL
VANCOUVER, WA 98664
Clark County (360) 514-2116
DR. RAMON LARIOS MD
Anesthesiology
400 NE MOTHER JOSEPH PL
VANCOUVER, WA 98664
Clark County (360) 828-5396
WESLEY HANSON PHARMD
Pharmacist
400 NE MOTHER JOSEPH PL
VANCOUVER, WA 98664
Clark County (360) 514-2881
HENRY NGUYEN PHARMD
Pharmacist
400 NE MOTHER JOSEPH PL
VANCOUVER, WA 98664
Clark County (360) 514-2000
DR. GREGORY A CONNELL M.D.
Anesthesiology
400 NE MOTHER JOSEPH PL
VANCOUVER, WA 98664
Clark County (360) 667-3056

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 Jennifer Prouse's NPI number?

The NPI number for Jennifer Prouse is 1083797146. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Jennifer Prouse located?

Jennifer Prouse practices at 400 NE Mother Joseph Pl, Vancouver, WA 98664. The listed phone number is (360) 514-2559.

What is Jennifer Prouse's specialty?

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

Is Jennifer Prouse enrolled in Medicare?

Yes. Jennifer Prouse is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Prouse's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Prouse reassigns Medicare benefits to Peacehealth (Vancouver, WA). 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 Jennifer Prouse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Prouse accept?

Health plans from Ambetter Health, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Jennifer Prouse as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Prouse was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.