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MATTIE ROSE JANKOWSKI RDN
NPI 1659845014
Dietitian, Registered in Woodbury, MN

Active since January 17, 2019
576 BIELENBERG DR STE 250, WOODBURY, MN 55125(651) 645-5323 Get Directions Write a Review

NPPES record last updated: January 17, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mattie Rose Jankowski Rdn NPPES

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

MATTIE ROSE JANKOWSKI RDN (NPI 1659845014) is an individual dietitian, registered in Woodbury, Minnesota and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1659845014
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMATTIE ROSE JANKOWSKICredential: RDN
Location Address576 BIELENBERG DR STE 250Woodbury, MN 55125-1739
Mailing Address2265 Como AveSaint Paul, MN 55108-1737 · (651) 645-5323
Phone(651) 645-5323
Sole ProprietorNo
Enumeration DateJanuary 17, 2019
✔ NPI 1659845014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
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.
576 BIELENBERG DR STE 250, Woodbury, MN 55125
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mattie Rose Jankowski Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Fairview Clinics
4.9 mi
Clinic/Center
1414 MARYLAND AVE E
Saint Paul, MN 55106
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,302 clinicians in this Medicare group
NPI 1124652557 (651) 772-3461

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 6

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

SARAH NESHEIM
Student in an Organized Health Care Education/Training Program
576 BIELENBERG DR STE 250
WOODBURY, MN 55125
Washington County (651) 645-5323
CLAIRE RUSTAD WELO PA-C
Physician Assistant
576 BIELENBERG DR STE 250
WOODBURY, MN 55125
Washington County (866) 821-0281
ELIZABETH RYAN FENSKE LICSW
Social Worker (Clinical)
576 BIELENBERG DR STE 250
WOODBURY, MN 55125
Washington County (866) 821-0281
HANNAH MAE BUNNEY
Counselor (Mental Health)
576 BIELENBERG DR STE 250
WOODBURY, MN 55125
Washington County (866) 821-0281
MARIE L THOMPSON LMFT
Marriage & Family Therapist
576 BIELENBERG DR STE 250
WOODBURY, MN 55125
Washington County (866) 237-6125
MADIGAN SHANK LGSW
Social Worker
576 BIELENBERG DR STE 250
WOODBURY, MN 55125
Washington County (651) 645-5323

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 Mattie Jankowski's NPI number?

The NPI number for Mattie Jankowski is 1659845014. It was assigned to this individual provider in the NPPES registry on January 17, 2019.

Where is Mattie Jankowski located?

Mattie Jankowski practices at 576 Bielenberg Dr Ste 250, Woodbury, MN 55125. The listed phone number is (651) 645-5323.

What is Mattie Jankowski's specialty?

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

Is Mattie Jankowski enrolled in Medicare?

Yes. Mattie Jankowski is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mattie Jankowski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mattie Jankowski reassigns Medicare benefits to Fairview Clinics (Saint Paul, MN). 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 Mattie Jankowski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mattie Jankowski accept?

Health plans from Sanford Health Plan list Mattie Jankowski 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 Mattie Jankowski was last updated on January 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.