HEATHER JERZAK RD, CD
NPI 1124455183
Dietitian, Registered in Black River Falls, WI
About Heather Jerzak Rd, Cd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEATHER JERZAK RD, CD (NPI 1124455183) is an individual dietitian, registered in Black River Falls, Wisconsin, licensed in Wisconsin (2652-29) and active in the NPI registry since October 2013. She is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Heather Jerzak Rd, Cd 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 Heather Jerzak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Black River Falls, WI 54615
- Reassigned Medicare billing, Wisconsin enrollment
- 35 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 54615 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BLACK RIVER FALLS, WI 54615
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 Heather Jerzak's NPI number?
The NPI number for Heather Jerzak is 1124455183. It was assigned to this individual provider in the NPPES registry on October 4, 2013.
Where is Heather Jerzak located?
Heather Jerzak practices at N6520 Lumber Jack Guy Rd, Black River Falls, WI 54615. The listed phone number is (888) 685-4422.
What is Heather Jerzak's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Heather Jerzak enrolled in Medicare?
Yes. Heather Jerzak 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 Heather Jerzak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heather Jerzak reassigns Medicare benefits to Ho-Chunk Nation (Black River Falls, WI). 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 Heather Jerzak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Heather Jerzak accept?
Health plans from Group Health Cooperative-SCW list Heather Jerzak 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 Heather Jerzak was last updated on February 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Heather Jerzak, RD, CD · NPI 1124455183
Dietitian, Registered provider in Black River Falls, Wisconsin. Individual provider, active in the CMS NPPES registry since October 4, 2013.
## Identity
- **NPI:** 1124455183 (Entity type: Individual)
- **Enumerated:** October 4, 2013
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** 2652-29 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** N6520 LUMBER JACK GUY RD, Black River Falls, WI 54615
- **Phone:** (888) 685-4422
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Ho-Chunk Nation (NPI 1407911795, Black River Falls, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** February 1, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1124455183) · Data from the CMS NPPES public registry.