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SIERRA JACQUELYNN WINEINGER REGISTERED DIETITIAN
NPI 1770104283
Dietitian, Registered - Nutrition, Pediatric in Myrtle Beach, SC

Active since May 06, 2020Accepts Medicare Assignment
920 DOUG WHITE DR STE 420, MYRTLE BEACH, SC 29572(843) 353-5360(843) 353-5363 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 3, 2023, May 6, 2020 (2 updates tracked since 2020).

About Sierra Jacquelynn Wineinger Registered Dietitian NPPES

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

SIERRA JACQUELYNN WINEINGER REGISTERED DIETITIAN (NPI 1770104283) is an individual nutrition, pediatric provider in Myrtle Beach, South Carolina, licensed in South Carolina (LRD2062RD) and active in the NPI registry since May 2020. She is a graduate of Other (2018).

NPPES Registry Identity

NPI1770104283
Entity TypeIndividualFemale
Primary Taxonomy133VN1004X
Provider Legal NameSIERRA JACQUELYNN WINEINGERCredential: REGISTERED DIETITIAN
Location Address920 DOUG WHITE DR STE 420Myrtle Beach, SC 29572-4182
Mailing Address920 Doug White Dr Ste 420Myrtle Beach, SC 29572-4182 · (843) 353-5360 · Fax (843) 353-5363
Phone(843) 353-5360
Fax(843) 353-5363
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 6, 2020
Last NPPES UpdateMay 3, 20232 updates tracked since enumeration
NPPES CertifiedMay 3, 2023
✔ NPI 1770104283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, PediatricDietary & Nutritional Service Providers
Taxonomy Code133VN1004X
License✔ Licensed in SC · LRD2062RD
Definition
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
920 DOUG WHITE DR STE 420, Myrtle Beach, SC 29572
Open in Google Maps ↗

Other Names 1

Former Name (1)Sierra Jacquelynn Mendenhall

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sierra Jacquelynn Wineinger Registered Dietitian is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557721941
PECOS Enrollment IDI20230717002974

Medicare Billing Reassignments

3

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

Grand Strand Surgical Specialists, LLC
5.8 mi
Surgery
849 82ND PKWY
Myrtle Beach, SC 29572
  • Reassigned Medicare billing, South Carolina enrollment
  • 51 clinicians in this Medicare group
NPI 1841465804 (843) 497-6348
Ssm Cardinal Glennon Childrens Hospital
701 mi
Pediatrics
1 SAINT ELIZABETH BLVD
O Fallon, IL 62269
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: Ssm Cardinal Glennon Children's Hospital
  • 414 clinicians in this Medicare group
NPI 1174577670 (618) 234-2120
Broadlawns Medical Center
974 mi
General Acute Care Hospital
1801 HICKMAN RD
Des Moines, IA 50314
  • Reassigned Medicare billing, Iowa enrollment
  • 518 clinicians in this Medicare group
NPI 1467447508 (515) 282-2200

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 7

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

MR. NICHOLAS MARTIN RINI PA-C
Physician Assistant
920 DOUG WHITE DR STE 420
MYRTLE BEACH, SC 29572
Horry County (843) 497-7772
ALYSE MOYER PA-C
Physician Assistant
920 DOUG WHITE DR STE 420
MYRTLE BEACH, SC 29572
Horry County (843) 497-7772
JOSEPH ANDRES RUGGERIO FNP-C
Nurse Practitioner (Family)
920 DOUG WHITE DR STE 420
MYRTLE BEACH, SC 29572
Horry County (843) 497-7772
DANIEL AUSTIN LAMBERT
Thoracic Surgery (Cardiothoracic Vascular Surgery)
920 DOUG WHITE DR STE 420
MYRTLE BEACH, SC 29572
Horry County (843) 497-7772
RUSSELL FRANK STAHL MD
Specialist
920 DOUG WHITE DR STE 420
MYRTLE BEACH, SC 29572
Horry County (843) 497-7772
DR. PARIJAT MUKUND DIDOLKAR M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
920 DOUG WHITE DR STE 420
MYRTLE BEACH, SC 29572
Horry County (843) 497-7772
HEATHER PALOMINO
Thoracic Surgery (Cardiothoracic Vascular Surgery)
920 DOUG WHITE DR STE 420
MYRTLE BEACH, SC 29572
Horry County (843) 497-7772

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 Sierra Wineinger's NPI number?

The NPI number for Sierra Wineinger is 1770104283. It was assigned to this individual provider in the NPPES registry on May 6, 2020. The provider is also known as Sierra Jacquelynn Mendenhall.

Where is Sierra Wineinger located?

Sierra Wineinger practices at 920 Doug White Dr Ste 420, Myrtle Beach, SC 29572. The listed phone number is (843) 353-5360.

What is Sierra Wineinger's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Pediatric, with taxonomy code 133VN1004X.

Is Sierra Wineinger enrolled in Medicare?

Yes. Sierra Wineinger is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sierra Wineinger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sierra Wineinger reassigns Medicare benefits to 3 organizations: Grand Strand Surgical Specialists, LLC (Myrtle Beach, SC), Ssm Cardinal Glennon Childrens Hospital (O Fallon, IL) and Broadlawns Medical Center (Des Moines, IA). 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 Sierra Wineinger'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 Sierra Wineinger was last updated on May 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.