JAYDEN MAE CLEMETSON RDN
NPI 1487381778
Nutritionist in Waukesha, WI
About Jayden Mae Clemetson Rdn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAYDEN MAE CLEMETSON RDN (NPI 1487381778) is an individual nutritionist in Waukesha, Wisconsin and active in the NPI registry since August 2022. She is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jayden Mae Clemetson Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jayden Clemetson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pewaukee, WI 53072
- Reassigned Medicare billing, Wisconsin enrollment
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.
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 Jayden Clemetson's NPI number?
The NPI number for Jayden Clemetson is 1487381778. It was assigned to this individual provider in the NPPES registry on August 5, 2022. The provider is also known as Jayden Mae Rajnicek.
Where is Jayden Clemetson located?
Jayden Clemetson practices at 514 Riverview Ave, Waukesha, WI 53188. The listed phone number is (262) 896-8440.
What is Jayden Clemetson's specialty?
The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.
Is Jayden Clemetson enrolled in Medicare?
Yes. Jayden Clemetson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jayden Clemetson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jayden Clemetson reassigns Medicare benefits to Fitventures Pewaukee Inc (Pewaukee, 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 Jayden Clemetson'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 Jayden Clemetson was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Jayden Mae Clemetson, RDN · NPI 1487381778
Nutritionist provider in Waukesha, Wisconsin. Individual provider, active in the CMS NPPES registry since August 5, 2022.
## Identity
- **NPI:** 1487381778 (Entity type: Individual)
- **Enumerated:** August 5, 2022
- **Primary specialty:** Nutritionist · taxonomy 133N00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 514 RIVERVIEW AVE, Waukesha, WI 53188-3631
- **Phone:** (262) 896-8440
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Fitventures Pewaukee Inc (NPI 1962379792, Pewaukee, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** August 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1487381778) · Data from the CMS NPPES public registry.