JACOB S RISK RD
NPI 1396935128
Dietitian, Registered in Belleville, IL
About Jacob S Risk Rd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB S RISK RD (NPI 1396935128) is an individual dietitian, registered in Belleville, Illinois and active in the NPI registry since July 2007. He is a graduate of Other (2005).
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
Jacob S Risk Rd 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 Jacob Risk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Louis, MO 63144
- Reassigned Medicare billing, Missouri enrollment
- 6 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 62220 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BELLEVILLE, IL 62220
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 Jacob Risk's NPI number?
The NPI number for Jacob Risk is 1396935128. It was assigned to this individual provider in the NPPES registry on July 27, 2007.
Where is Jacob Risk located?
Jacob Risk practices at 211 S 3rd St, Belleville, IL 62220. The listed phone number is (618) 234-2120.
What is Jacob Risk's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Jacob Risk enrolled in Medicare?
Yes. Jacob Risk 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 Jacob Risk's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Risk reassigns Medicare benefits to Lutheran Senior Services (Saint Louis, MO). 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 Jacob Risk'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 Jacob Risk was last updated on July 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Jacob S Risk, RD · NPI 1396935128
Dietitian, Registered provider in Belleville, Illinois. Individual provider, active in the CMS NPPES registry since July 27, 2007.
## Identity
- **NPI:** 1396935128 (Entity type: Individual)
- **Enumerated:** July 27, 2007
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 211 S 3RD ST, Belleville, IL 62220-1915
- **Phone:** (618) 234-2120
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Lutheran Senior Services (NPI 1528763885, Saint Louis, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** July 27, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1396935128) · Data from the CMS NPPES public registry.