MS. JESSIE ROBERTA HANN MS,RD,LD,CD,CDCES
NPI 1104083492
Dietitian, Registered in Portland, OR
About Ms. Jessie Roberta Hann Ms,rd,ld,cd,cdces NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JESSIE ROBERTA HANN MS,RD,LD,CD,CDCES (NPI 1104083492) is an individual dietitian, registered in Portland, Oregon, licensed in Oregon (461) and active in the NPI registry since May 2008. She is a graduate of Other (1996).
NPPES Registry Identity
Specialties & Licenses
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
Ms. Jessie Roberta Hann Ms,rd,ld,cd,cdces 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.
Medicare Billing Reassignment
Medicare enrollment records show Jessie Hann reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, OR 97214
- Reassigned Medicare billing, Oregon and Washington enrollments
- Also billed through NPI 1871848457 (Washington)
- 3,207 clinicians in this Medicare group
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 97220 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PORTLAND, OR 97220
PORTLAND, OR 97220
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 Jessie Hann's NPI number?
The NPI number for Jessie Hann is 1104083492. It was assigned to this individual provider in the NPPES registry on May 22, 2008.
Where is Jessie Hann located?
Jessie Hann practices at 1700 NE 102nd Ave, Portland, OR 97220. The listed phone number is (503) 250-4326.
What is Jessie Hann's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Jessie Hann enrolled in Medicare?
Yes. Jessie Hann 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 Jessie Hann's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessie Hann reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Northwest (Portland, OR). 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 Jessie Hann'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 Jessie Hann was last updated on August 2, 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.
# Ms. Jessie Roberta Hann, MS,RD,LD,CD,CDCES · NPI 1104083492
Dietitian, Registered provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since May 22, 2008.
## Identity
- **NPI:** 1104083492 (Entity type: Individual)
- **Enumerated:** May 22, 2008
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** 461 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 1700 NE 102ND AVE, Portland, OR 97220-3804
- **Phone:** (503) 250-4326 · **Fax:** (971) 229-6709
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Kaiser Foundation Health Plan Of The Northwest (NPI 1063990695, Portland, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** August 2, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1104083492) · Data from the CMS NPPES public registry.