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BOBBIE JO FATHEREE
NPI 1538985361
Dietitian, Registered in Stillwater, MN

Active since November 26, 2024
927 CHURCHILL ST W, STILLWATER, MN 55082(651) 439-5330 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Bobbie Jo Fatheree NPPES

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

BOBBIE JO FATHEREE (NPI 1538985361) is an individual dietitian, registered in Stillwater, Minnesota, licensed in Minnesota (1091704) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1538985361
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameBOBBIE JO FATHEREE
Location Address927 CHURCHILL ST WStillwater, MN 55082-6605
Mailing Address927 Churchill St WStillwater, MN 55082-6605
Phone(651) 439-5330
Sole ProprietorYes
Enumeration DateNovember 26, 2024
NPPES CertifiedNovember 26, 2024
✔ NPI 1538985361 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 MN · 1091704
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.
927 CHURCHILL ST W, Stillwater, MN 55082
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bobbie Jo Fatheree is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

3

Medicare enrollment records show Bobbie Fatheree reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Group Health, Inc.
7.7 mi
Multi-Specialty
411 STAGELINE RD # 150
Hudson, WI 54016
  • Reassigned Medicare billing, Wisconsin enrollment
  • 232 clinicians in this Medicare group
NPI 1427420181 (715) 531-6017
Westfields Hospital, Inc.
14 mi
Critical Access
535 HOSPITAL ROAD
New Richmond, WI 54017
  • Reassigned Medicare billing, Wisconsin enrollment
  • 357 clinicians in this Medicare group
NPI 1881640183 (715) 243-2600
Amery Regional Medical Center, Inc.
28 mi
Critical Access
265 GRIFFIN ST E
Amery, WI 54001
  • Reassigned Medicare billing, Wisconsin enrollment
  • 348 clinicians in this Medicare group
NPI 1093763518 (715) 268-8000

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.

MRS. ANIKA SCHULTE PHILLIPS RN, CNM
Advanced Practice Midwife
927 CHURCHILL ST W
STILLWATER, MN 55082
Washington County (651) 439-1234
KRISTIN ANN MILLER RDN
Dietitian, Registered
927 CHURCHILL ST W
STILLWATER, MN 55082
Washington County (651) 430-4602
MRS. MARY ELIZABETH MILLER
Dietitian, Registered
927 CHURCHILL ST W
STILLWATER, MN 55082
Washington County (651) 430-8715
SARAH LYNN DAHLKE
Dietitian, Registered
927 CHURCHILL ST W
STILLWATER, MN 55082
Washington County (651) 430-8715
MARK D WOJTOWICZ MD
Anesthesiology
927 CHURCHILL ST W
STILLWATER, MN 55082
Washington County (651) 430-4585
BEAU W TROESCH RRT
Respiratory Therapist, Registered
927 CHURCHILL ST W
STILLWATER, MN 55082
Washington County (651) 430-7190
KATHLEEN ANN MEAD RDN
Dietitian, Registered
927 CHURCHILL ST W
STILLWATER, MN 55082
Washington County (651) 430-8715
ST. CROIX RADIOLOGY CONSULTANTS, LLC
Clinic/Center (Radiology)
927 CHURCHILL ST W
STILLWATER, MN 55082
Washington County (651) 430-4617

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 Bobbie Fatheree's NPI number?

The NPI number for Bobbie Fatheree is 1538985361. It was assigned to this individual provider in the NPPES registry on November 26, 2024.

Where is Bobbie Fatheree located?

Bobbie Fatheree practices at 927 Churchill St W, Stillwater, MN 55082. The listed phone number is (651) 439-5330.

What is Bobbie Fatheree's specialty?

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

Is Bobbie Fatheree enrolled in Medicare?

Yes. Bobbie Fatheree is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Bobbie Fatheree's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bobbie Fatheree reassigns Medicare benefits to 3 organizations: Group Health, Inc. (Hudson, WI), Westfields Hospital, Inc. (New Richmond, WI) and Amery Regional Medical Center, Inc. (Amery, 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 Bobbie Fatheree's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bobbie Fatheree accept?

Health plans from Medica list Bobbie Fatheree 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 Bobbie Fatheree was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.