JENNIFER WILFONG RD
NPI 1821606898
Dietitian, Registered in Lorena, TX
About Jennifer Wilfong Rd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER WILFONG RD (NPI 1821606898) is an individual dietitian, registered in Lorena, Texas, licensed in Texas (DT83244) and active in the NPI registry since July 2020.
NPPES Registry Identity
Specialties & Licenses
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)
Jennifer Wilfong Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jennifer Wilfong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Waco, TX 76708
- Reassigned Medicare billing, Texas enrollment
- 7 clinicians in this Medicare group
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 Jennifer Wilfong's NPI number?
The NPI number for Jennifer Wilfong is 1821606898. It was assigned to this individual provider in the NPPES registry on July 16, 2020.
Where is Jennifer Wilfong located?
Jennifer Wilfong practices at 400 Gibraltar Ln, Lorena, TX 76655. The listed phone number is (719) 439-2470.
What is Jennifer Wilfong's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Jennifer Wilfong enrolled in Medicare?
Yes. Jennifer Wilfong is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jennifer Wilfong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Wilfong reassigns Medicare benefits to Etsah Counseling Center, PLLC (Waco, TX). 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 Jennifer Wilfong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jennifer Wilfong accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Jennifer Wilfong 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 Jennifer Wilfong was last updated on March 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.