JODY PETRUNAK
NPI 1285093302
Dietitian, Registered in Altoona, PA
About Jody Petrunak NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JODY PETRUNAK (NPI 1285093302) is an individual dietitian, registered in Altoona, Pennsylvania, licensed in Pennsylvania (DN000699) and active in the NPI registry since February 2016. 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
Jody Petrunak 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 Jody Petrunak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Altoona, PA 16601
- Reassigned Medicare billing, Pennsylvania enrollment
- Also billed through NPI 1437100765 (Pennsylvania)
- 54 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 16601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 Jody Petrunak's NPI number?
The NPI number for Jody Petrunak is 1285093302. It was assigned to this individual provider in the NPPES registry on February 17, 2016.
Where is Jody Petrunak located?
Jody Petrunak practices at 620 Howard Ave, Altoona, PA 16601. The listed phone number is (814) 889-2351.
What is Jody Petrunak's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Jody Petrunak enrolled in Medicare?
Yes. Jody Petrunak 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 Jody Petrunak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jody Petrunak reassigns Medicare benefits to Upmc Altoona (Altoona, PA). 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 Jody Petrunak'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 Jody Petrunak was last updated on June 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Jody Petrunak · NPI 1285093302
Dietitian, Registered provider in Altoona, Pennsylvania. Individual provider, active in the CMS NPPES registry since February 17, 2016.
## Identity
- **NPI:** 1285093302 (Entity type: Individual)
- **Enumerated:** February 17, 2016
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** DN000699 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 620 HOWARD AVE, Altoona, PA 16601-4804
- **Phone:** (814) 889-2351
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Upmc Altoona (NPI 1487604179, Altoona, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** June 15, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1285093302) · Data from the CMS NPPES public registry.