MICHELLE PETKOVSEK RDN, CD
NPI 1114647203
Dietitian, Registered in Reedsburg, WI

Q: What is Michelle Petkovsek's NPI number?

The NPI number for Michelle Petkovsek is 1114647203. It was assigned to this individual provider in the NPPES registry on August 30, 2022.

Q: What is Michelle Petkovsek's specialty?

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

Active since August 30, 2022

2000 N DEWEY AVE, REEDSBURG, WI 53959(608) 768-6129 Get Directions Write a Review

NPPES record last updated: December 14, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 14, 2023, Aug 30, 2022 (2 updates tracked since 2022).

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About Michelle Petkovsek Rdn, Cd NPPES

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

MICHELLE PETKOVSEK RDN, CD (NPI 1114647203) is an individual dietitian, registered in Reedsburg, Wisconsin, licensed in Wisconsin (5001-29) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1114647203

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMICHELLE PETKOVSEKCredential: RDN, CD

Location Address2000 N DEWEY AVEReedsburg, WI 53959-1049

Mailing Address603 Granite AveReedsburg, WI 53959-1874 · (608) 768-6129

Phone(608) 768-6129

Sole ProprietorNo

Enumeration DateAugust 30, 2022

Last NPPES UpdateDecember 14, 20232 updates tracked since enumeration

NPPES CertifiedDecember 14, 2023

✔ NPI 1114647203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in WI · 5001-29

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.

Also ListedHealth EducatorTaxonomy 174H00000X · License 5001-29 (WI)

2000 N DEWEY AVE, Reedsburg, WI 53959

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Petkovsek Rdn, Cd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Reedsburg Area Medical Center, Inc.

Same address

Critical Access

2000 N DEWEY AVE
Reedsburg, WI 53959

Reassigned Medicare billing, Wisconsin enrollment
96 clinicians in this Medicare group

NPI 1891796710 (608) 524-6487

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.

EMILY SEIDEMAN MS, RD, CD

Dietitian, Registered