JENNIFER WILFONG RD
NPI 1821606898
Dietitian, Registered in Lorena, TX

Active since July 16, 2020
400 GIBRALTAR LN, LORENA, TX 76655(719) 439-2470 Get Directions Write a Review

NPPES record last updated: March 8, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 8, 2026, Jul 16, 2020 (2 updates tracked since 2020).

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

NPI1821606898
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameJENNIFER WILFONGCredential: RD
Location Address400 GIBRALTAR LNLorena, TX 76655-3622
Mailing Address400 Gibraltar LnLorena, TX 76655-3622 · (719) 439-2470
Sole ProprietorYes
Enumeration DateJuly 16, 2020
Last NPPES UpdateMarch 8, 20262 updates tracked since enumeration
NPPES CertifiedMarch 8, 2026
✔ NPI 1821606898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in TX · DT83244
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.
400 GIBRALTAR LN, Lorena, TX 76655

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.

Mental Health
3500 HILLCREST DR STE 2B
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.