JENNIFER RENEE DAVIS RD,CD, LD, CDCES
NPI 1861787806
Dietitian, Registered in Maple Grove, MN

Q: What is Jennifer Davis's NPI number?

The NPI number for Jennifer Davis is 1861787806. It was assigned to this individual provider in the NPPES registry on June 17, 2011.

Q: What is Jennifer Davis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennifer Davis was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 17, 2011

9825 HOSPITAL DR, MAPLE GROVE, MN 55369(763) 581-8900 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Jennifer Renee Davis Rd,cd, Ld, Cdces NPPES

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

JENNIFER RENEE DAVIS RD,CD, LD, CDCES (NPI 1861787806) is an individual dietitian, registered in Maple Grove, Minnesota, licensed in Minnesota (5996) and active in the NPI registry since June 2011. She is a graduate of Other (2000).

NPPES Registry Identity

NPI1861787806

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameJENNIFER RENEE DAVISCredential: RD,CD, LD, CDCES

Location Address9825 HOSPITAL DRMaple Grove, MN 55369-4479

Mailing Address9825 Hospital DrMaple Grove, MN 55369-4479 · (763) 581-8900

Phone(763) 581-8900

Sole ProprietorYes

Medical School CMSOtherGraduated 2000

Enumeration DateJune 17, 2011

Last NPPES UpdateJuly 29, 2026

NPPES CertifiedJuly 29, 2026

✔ NPI 1861787806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Licenses✔ Licensed in MN · 5996✔ Licensed in WI · 1897

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.

9825 HOSPITAL DR, Maple Grove, MN 55369

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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 Renee Davis Rd,cd, Ld, Cdces is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214190461

PECOS Enrollment IDI20260623003022

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Memorial Health Care

Same address

Oncology

9825 HOSPITAL DR STE 11
Maple Grove, MN 55369

Reassigned Medicare billing, Minnesota enrollment
540 clinicians in this Medicare group

NPI 1285648295 (763) 581-2800

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 19

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

DR. PAMELA D DOORENBOS M.D.

Family Medicine

9825 HOSPITAL DR, SUITE 300
MAPLE GROVE, MN 55369

Hennepin County (763) 494-7500

UROLOGY ASSOCIATES, LTD.

Urology

9825 HOSPITAL DR, SUITE 300
MAPLE GROVE, MN 55369

Hennepin County (952) 927-6501

ELIZABETH JANE DAVIDSON FNP-BC

Nurse Practitioner (Family)

9825 HOSPITAL DR
MAPLE GROVE, MN 55369

Hennepin County (612) 293-7822

SARA LINDGREN HIS

Hearing Instrument Specialist

9825 HOSPITAL DR, LL10
MAPLE GROVE, MN 55369

Hennepin County (612) 339-2836

ELIZABETH BECKER NP

Nurse Practitioner (Gerontology)

9825 HOSPITAL DR, SUITE 105
MAPLE GROVE, MN 55369

Hennepin County (763) 780-6699

JOHN DANIEL DRYER MD

Family Medicine

9825 HOSPITAL DR, SUITE300
MAPLE GROVE, MN 55369

Hennepin County (763) 494-7500

ASHLEY WONG AU.D.

Audiologist

9825 HOSPITAL DR, SUITE LL-10
MAPLE GROVE, MN 55369

Hennepin County (612) 339-2836

NANCY JEAN DECKER-MILLER CNM

Midwife

9825 HOSPITAL DR, #205
MAPLE GROVE, MN 55369

Hennepin County (763) 587-7000

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 Davis's NPI number?

The NPI number for Jennifer Davis is 1861787806. It was assigned to this individual provider in the NPPES registry on June 17, 2011.

Where is Jennifer Davis located?

Jennifer Davis practices at 9825 Hospital Dr, Maple Grove, MN 55369. The listed phone number is (763) 581-8900.

What is Jennifer Davis's specialty?

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

Is Jennifer Davis enrolled in Medicare?

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

Which organization bills Medicare for Jennifer Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Davis reassigns Medicare benefits to North Memorial Health Care (Maple Grove, MN). 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 Davis'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 Davis was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.