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JENNIFER BURNETT RDN
NPI 1720619646
Dietitian, Registered in Corvallis, OR

Active since January 29, 2020
3600 NW SAMARITAN DR, CORVALLIS, OR 97330(541) 768-4663 Get Directions Write a Review

NPPES record last updated: January 29, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jennifer Burnett Rdn NPPES

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

JENNIFER BURNETT RDN (NPI 1720619646) is an individual dietitian, registered in Corvallis, Oregon, licensed in (86084202) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1720619646
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameJENNIFER BURNETTCredential: RDN
Location Address3600 NW SAMARITAN DRCorvallis, OR 97330-3737
Mailing Address3600 Nw Samaritan DrCorvallis, OR 97330-3737
Phone(541) 768-4663
Sole ProprietorNo
Enumeration DateJanuary 29, 2020
✔ NPI 1720619646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed · 86084202
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.
3600 NW SAMARITAN DR, Corvallis, OR 97330
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Burnett Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Jennifer Burnett reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Queens Medical Center
2,535 mi
Urgent Care
377 KEAHOLE ST STE E108E109
Honolulu, HI 96825
  • Reassigned Medicare billing, Hawaii enrollment
  • 809 clinicians in this Medicare group
NPI 1528691383 (808) 735-0007
Primary Care Physician Enterprise LLC
2,547 mi
Clinic/Center
91-6390 KAPOLEI PKWY
Ewa Beach, HI 96706
  • Reassigned Medicare billing, Hawaii enrollment
  • 40 clinicians in this Medicare group
NPI 1164054763 (808) 691-4600

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.

DR. ELIZABETH BURNS MCQUITTY M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
3600 NW SAMARITAN DR, PATHOLOGY DEPT
CORVALLIS, OR 97330
Benton County (541) 768-6697
MS. KIM SCHLESSINGER ANP-BC
Nurse Practitioner (Adult Health)
3600 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 768-6687
DR. PARINAV KANWAR
Student in an Organized Health Care Education/Training Program
3600 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 768-4906
SAMUEL ARNOT DO
Internal Medicine
3600 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 768-5111
DANIELLE MICHELLE NIEMANN DO
Student in an Organized Health Care Education/Training Program
3600 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 768-4906
MOHAN AVULA DO
Internal Medicine
3600 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 768-4906
DR. RANDALL V. BREAM M.D.
Internal Medicine (Cardiovascular Disease)
3600 NW SAMARITAN DR, SUITE E350
CORVALLIS, OR 97330
Benton County (541) 768-5205
DR. DESTINY JENNIFER GMELCH M.D.
Pediatrics
3600 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 768-5111

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 Burnett's NPI number?

The NPI number for Jennifer Burnett is 1720619646. It was assigned to this individual provider in the NPPES registry on January 29, 2020.

Where is Jennifer Burnett located?

Jennifer Burnett practices at 3600 NW Samaritan Dr, Corvallis, OR 97330. The listed phone number is (541) 768-4663.

What is Jennifer Burnett's specialty?

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

Is Jennifer Burnett enrolled in Medicare?

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

Which organizations bill Medicare for Jennifer Burnett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Burnett reassigns Medicare benefits to 2 organizations: The Queens Medical Center (Honolulu, HI) and Primary Care Physician Enterprise LLC (Ewa Beach, HI). 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 Jennifer Burnett'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 Jennifer Burnett was last updated on January 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.