JENA DEMOSS RD, LD
NPI 1104235100
Dietitian, Registered in Austin, MN

Q: What is Jena Demoss's NPI number?

The NPI number for Jena Demoss is 1104235100. It was assigned to this individual provider in the NPPES registry on August 5, 2014. The provider is also known as Jena Pape.

Q: What is Jena Demoss'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 Jena Demoss was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 August 05, 2014

1001 18TH AVE NW, AUSTIN, MN 55912(507) 437-7625 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 15, 2024, Dec 21, 2015 (2 updates tracked since 2015).

On this page

About Jena Demoss Rd, Ld NPPES

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

JENA DEMOSS RD, LD (NPI 1104235100) is an individual dietitian, registered in Austin, Minnesota, licensed in Minnesota (3410) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1104235100

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameJENA DEMOSSCredential: RD, LD

Location Address1001 18TH AVE NWAustin, MN 55912-1890

Mailing Address7180 10th St NOakdale, MN 55128-1122 · (507) 437-7625

Phone(507) 437-7625

Sole ProprietorNo

Enumeration DateAugust 5, 2014

Last NPPES UpdateMay 15, 20242 updates tracked since enumeration

NPPES CertifiedMay 15, 2024

✔ NPI 1104235100 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 MN · 3410

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.

1001 18TH AVE NW, Austin, MN 55912

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Other Names 1

Former Name (1)Jena Pape

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jena Demoss Rd, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Hy-Vee Health PC

60 mi

Dietitian, Registered

2010 ADAMS ST
Mankato, MN 56001

Reassigned Medicare billing, Minnesota enrollment
9 clinicians in this Medicare group

NPI 1043086986 (515) 225-2930

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

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

LANA HATCH

Pharmacist

1001 18TH AVE NW
AUSTIN, MN 55912

Mower County (507) 437-9185

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 Jena Demoss's NPI number?

The NPI number for Jena Demoss is 1104235100. It was assigned to this individual provider in the NPPES registry on August 5, 2014. The provider is also known as Jena Pape.

Where is Jena Demoss located?

Jena Demoss practices at 1001 18th Ave NW, Austin, MN 55912. The listed phone number is (507) 437-7625.

What is Jena Demoss's specialty?

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

Is Jena Demoss enrolled in Medicare?

Yes. Jena Demoss is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jena Demoss's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jena Demoss reassigns Medicare benefits to Hy-Vee Health PC (Mankato, 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 Jena Demoss's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jena Demoss accept?

Health plans from Anthem Blue Cross and Blue Shield and Sanford Health Plan list Jena Demoss 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 Jena Demoss was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.