JACQUELINE E WYMAN MS, RD, CDN
NPI 1699432401
Dietitian, Registered in Purchase, NY

Active since November 29, 2021
3 ORCHARD DR, PURCHASE, NY 10577(917) 797-7809 Get Directions Write a Review

NPPES record last updated: July 15, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 15, 2022, Nov 29, 2021 (2 updates tracked since 2021).

About Jacqueline E Wyman Ms, Rd, Cdn NPPES

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

JACQUELINE E WYMAN MS, RD, CDN (NPI 1699432401) is an individual dietitian, registered in Purchase, New York and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1699432401
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameJACQUELINE E WYMANCredential: MS, RD, CDN
Location Address3 ORCHARD DRPurchase, NY 10577-2205
Mailing Address3 Orchard DrPurchase, NY 10577-2205 · (917) 797-7809
Sole ProprietorYes
Enumeration DateNovember 29, 2021
Last NPPES UpdateJuly 15, 20222 updates tracked since enumeration
NPPES CertifiedJuly 15, 2022
✔ NPI 1699432401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
3 ORCHARD DR, Purchase, NY 10577

Other Names 1

Other Name (5)Jacqueline E Wyman Ms, Rd, Cdn

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline E Wyman Ms, Rd, Cdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Dietitian, Registered
80 PALOMINO LN STE 101
Bedford, NH 03110
  • Reassigned Medicare billing, New York enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jacqueline Wyman's NPI number?

The NPI number for Jacqueline Wyman is 1699432401. It was assigned to this individual provider in the NPPES registry on November 29, 2021. The provider is also known as Jacqueline E Wyman Ms, Rd, Cdn.

Where is Jacqueline Wyman located?

Jacqueline Wyman practices at 3 Orchard Dr, Purchase, NY 10577. The listed phone number is (917) 797-7809.

What is Jacqueline Wyman's specialty?

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

Is Jacqueline Wyman enrolled in Medicare?

Yes. Jacqueline Wyman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacqueline Wyman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Wyman reassigns Medicare benefits to Nutrition In Motion (Bedford, NH). 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 Jacqueline Wyman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline Wyman accept?

Health plans from Oscar Health Maintenance Organization of Florida list Jacqueline Wyman 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 Jacqueline Wyman was last updated on July 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.