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MRS. JENNIFER WYNNE BOPP DALE M.S., R.D.
NPI 1497177992
Dietitian, Registered in Mesa, AZ

Active since January 17, 2014
4904 S POWER RD, MESA, AZ 85212(602) 770-7611 Get Directions Write a Review

NPPES record last updated: January 17, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Jennifer Wynne Bopp Dale M.s., R.d. NPPES

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

MRS. JENNIFER WYNNE BOPP DALE M.S., R.D. (NPI 1497177992) is an individual dietitian, registered in Mesa, Arizona, licensed in Arizona (968353) and active in the NPI registry since January 2014. She is a graduate of Other (2010).

NPPES Registry Identity

NPI1497177992
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMRS. JENNIFER WYNNE BOPP DALECredential: M.S., R.D.
Location Address4904 S POWER RDMesa, AZ 85212-3609
Mailing Address3420 S Mercy RdGilbert, AZ 85297-0419 · (602) 770-7611
Phone(602) 770-7611
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJanuary 17, 2014
✔ NPI 1497177992 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 AZ · 968353
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.
4904 S POWER RD, Mesa, AZ 85212
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jennifer Wynne Bopp Dale M.s., R.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385104785
PECOS Enrollment IDI20260904001107

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Dale reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nourish, Inc.
845 mi
Dietitian, Registered
3724 JEFFERSON ST STE 104
Austin, TX 78731
  • Reassigned Medicare billing, Texas enrollment
  • 487 clinicians in this Medicare group
NPI 1558097824 (512) 693-7045

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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDERSONS NUTRITION
Dietitian, Registered
4904 S POWER RD, ST 188-106
MESA, AZ 85212
Maricopa County (602) 770-7611
LEANNE NICOLE CARPENTER
Massage Therapist
4904 S POWER RD
MESA, AZ 85212
Maricopa County (480) 859-0807

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 Jennifer Dale's NPI number?

The NPI number for Jennifer Dale is 1497177992. It was assigned to this individual provider in the NPPES registry on January 17, 2014.

Where is Jennifer Dale located?

Jennifer Dale practices at 4904 S Power Rd, Mesa, AZ 85212. The listed phone number is (602) 770-7611.

What is Jennifer Dale's specialty?

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

Is Jennifer Dale enrolled in Medicare?

Yes. Jennifer Dale is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Dale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Dale reassigns Medicare benefits to Nourish, Inc. (Austin, TX). 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 Jennifer Dale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Dale accept?

Health plans from Blue Cross and Blue Shield of Texas list Jennifer Dale 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 Jennifer Dale was last updated on January 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.