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JILL M ROUP RD,CSO,CD
NPI 1336124791
Dietitian, Registered in Green Bay, WI

Active since December 08, 2005
1580 COMMANCHE AVE, GREEN BAY, WI 54313(920) 435-8326(920) 430-4659 Get Directions Write a Review

NPPES record last updated: February 13, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 13, 2020, Nov 15, 2017 (2 updates tracked since 2017).

About Jill M Roup Rd,cso,cd NPPES

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

JILL M ROUP RD,CSO,CD (NPI 1336124791) is an individual dietitian, registered in Green Bay, Wisconsin, licensed in Wisconsin (1567) and active in the NPI registry since December 2005. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1336124791
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameJILL M ROUPCredential: RD,CSO,CD
Location Address1580 COMMANCHE AVEGreen Bay, WI 54313-5751
Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7226 · Fax (920) 445-7238
Phone(920) 435-8326
Fax(920) 430-4659
Sole ProprietorNo
Enumeration DateDecember 8, 2005
Last NPPES UpdateFebruary 13, 20202 updates tracked since enumeration
✔ NPI 1336124791 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 WI · 1567
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.
1580 COMMANCHE AVE, Green Bay, WI 54313
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12820 Roosevelt RdMarinette, WI 54143-3834 · Phone (715) 735-5225 · Fax (715) 735-5388
Location 21630 Commanche AveGreen Bay, WI 54313-5753 · Phone (920) 430-4750

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jill M Roup Rd,cso,cd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Jill Roup reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bellin Memorial Hospital Inc
Same address
Family Medicine
1580 COMMANCHE AVE
Green Bay, WI 54313
  • Reassigned Medicare billing, Wisconsin enrollment
  • 875 clinicians in this Medicare group
NPI 1124081484 (920) 445-7295
Oconto Hospital & Medical Center, Inc.
27 mi
Rural Health
107 E HIGHLAND DR
Oconto Falls, WI 54154
  • Reassigned Medicare billing, Wisconsin enrollment
  • 573 clinicians in this Medicare group
NPI 1063038313 (920) 846-3092

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.

DR. KEVIN L MORTARA MD
Internal Medicine (Hematology & Oncology)
1580 COMMANCHE AVE
GREEN BAY, WI 54313
Brown County (920) 435-8326
KRYSTINA L PUTNAM APNP
Nurse Practitioner (Family)
1580 COMMANCHE AVE
GREEN BAY, WI 54313
Brown County (920) 435-8326
DR. TYION ANSIL TORRES M.D.
Internal Medicine (Hematology & Oncology)
1580 COMMANCHE AVE
GREEN BAY, WI 54313
Brown County (920) 435-8326
BELLIN MEMORIAL HOSPITAL INC
Family Medicine
1580 COMMANCHE AVE
GREEN BAY, WI 54313
Brown County (920) 445-7295
BELLIN PSYCHIATRIC CENTER INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1580 COMMANCHE AVE
GREEN BAY, WI 54313
Brown County (920) 431-5687
MRS. STEPHANIE LYNN HAYES APNP, FNP
Nurse Practitioner (Family)
1580 COMMANCHE AVE
GREEN BAY, WI 54313
Brown County (920) 435-8326
MRS. TARA M LIEN NP
Nurse Practitioner (Adult Health)
1580 COMMANCHE AVE
GREEN BAY, WI 54313
Brown County (920) 435-8326
LYNN A KANANEN NP
Nurse Practitioner
1580 COMMANCHE AVE
GREEN BAY, WI 54313
Brown County (920) 435-8326

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 Jill Roup's NPI number?

The NPI number for Jill Roup is 1336124791. It was assigned to this individual provider in the NPPES registry on December 8, 2005.

Where is Jill Roup located?

Jill Roup practices at 1580 Commanche Ave, Green Bay, WI 54313. The listed phone number is (920) 435-8326.

What is Jill Roup's specialty?

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

Is Jill Roup enrolled in Medicare?

Yes. Jill Roup is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jill Roup's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jill Roup reassigns Medicare benefits to 2 organizations: Bellin Memorial Hospital Inc (Green Bay, WI) and Oconto Hospital & Medical Center, Inc. (Oconto Falls, WI). Each 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 Jill Roup's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jill Roup accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource (Common Ground Healthcare) list Jill Roup 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 Jill Roup was last updated on February 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.