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JENNIFER LYNN WOLF BURG RD
NPI 1104304245
Dietitian, Registered in Saint Paul, MN

Active since July 31, 2018
2230 COMO AVE, SAINT PAUL, MN 55108(651) 645-5323 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 20, 2025, Jul 31, 2018 (2 updates tracked since 2018).

About Jennifer Lynn Wolf Burg Rd NPPES

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

JENNIFER LYNN WOLF BURG RD (NPI 1104304245) is an individual dietitian, registered in Saint Paul, Minnesota and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1104304245
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameJENNIFER LYNN WOLF BURGCredential: RD
Location Address2230 COMO AVESaint Paul, MN 55108-1720
Mailing AddressE4840 395th AveMenomonie, WI 54751-6463 · (715) 309-3579
Phone(651) 645-5323
Sole ProprietorNo
Enumeration DateJuly 31, 2018
Last NPPES UpdateNovember 20, 20252 updates tracked since enumeration
NPPES CertifiedNovember 20, 2025
✔ NPI 1104304245 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.
2230 COMO AVE, Saint Paul, MN 55108
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Other Names 1

Former Name (1)Jennifer Lynn Wolf Rd

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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 Lynn Wolf Burg Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Emily Program P C
0.1 mi
Mental Health (Including Community Mental Health Center)
2265 COMO AVENUE, SUITE 100
St Paul, MN 55108
  • Reassigned Medicare billing, Minnesota enrollment
  • 121 clinicians in this Medicare group
NPI 1528165065 (866) 364-5977

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.

JENNIFER WILSON
Social Worker
2230 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (651) 635-0095
JANELLE ZIMMERMAN MA, LPCC
Counselor (Mental Health)
2230 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (651) 645-5323
SHANELL PARIS FYLE RDN
Student in an Organized Health Care Education/Training Program
2230 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (651) 645-5323
ANNA CATHERINE BISHOP MS, RDN
Dietitian, Registered
2230 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (888) 364-5977
BEVERLY LABRIE LMFT
Marriage & Family Therapist
2230 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (651) 645-5323
EMILY PROGRAM PC
Community Based Residential Treatment Facility, Mental Illness
2230 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (651) 645-5323
MACKENNA LILLIS PAGE MA
Counselor (Professional)
2230 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (888) 364-5977
ALEXANDRA ANN ZUK
Counselor (Mental Health)
2230 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (888) 364-5977

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 Burg's NPI number?

The NPI number for Jennifer Burg is 1104304245. It was assigned to this individual provider in the NPPES registry on July 31, 2018. The provider is also known as Jennifer Lynn Wolf Rd.

Where is Jennifer Burg located?

Jennifer Burg practices at 2230 Como Ave, Saint Paul, MN 55108. The listed phone number is (651) 645-5323.

What is Jennifer Burg's specialty?

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

Is Jennifer Burg enrolled in Medicare?

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

Which organization bills Medicare for Jennifer Burg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Burg reassigns Medicare benefits to Emily Program P C (St Paul, 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 Jennifer Burg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Burg accept?

Health plans from Anthem Blue Cross and Blue Shield list Jennifer Burg 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 Burg was last updated on November 20, 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.