NEOGENESIS NUTRITION INC
NPI 1861191868
Clinic/Center - Health Service in University Place, WA
About Neogenesis Nutrition Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NEOGENESIS NUTRITION INC (NPI 1861191868) is a healthcare organization registered as a health service in University Place, Washington and active in the NPI registry since February 2023. The organization maintains a secondary practice location in University Place and lists Jennifer Champion, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Neogenesis Nutrition Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Neogenesis Nutrition Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Neogenesis Nutrition Inc's NPI number?
The NPI number for Neogenesis Nutrition Inc is 1861191868. It was assigned to this organization in the NPPES registry on February 28, 2023.
Where is Neogenesis Nutrition Inc located?
Neogenesis Nutrition Inc is located at 7018 59th Street Ct W, University Place, WA 98467. The listed phone number is (253) 507-5775.
What is Neogenesis Nutrition Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
Is Neogenesis Nutrition Inc enrolled in Medicare?
Yes. Neogenesis Nutrition Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Neogenesis Nutrition Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Neogenesis Nutrition Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Neogenesis Nutrition Inc accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Neogenesis Nutrition Inc 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 Neogenesis Nutrition Inc was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Neogenesis Nutrition Inc · NPI 1861191868
Health Service organization in University Place, Washington. Organization record, active in the CMS NPPES registry since February 28, 2023.
## Identity
- **NPI:** 1861191868 (Entity type: Organization)
- **Enumerated:** February 28, 2023
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Organization subpart:** No
- **Authorized official:** Jennifer Champion, OWNER
## Practice location
- **Address:** 7018 59TH STREET CT W, University Place, WA 98467-2172
- **Phone:** (253) 507-5775
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Registered Dietitian or Nutrition Professional) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1861191868) · Data from the CMS NPPES public registry.