ROSALIE TIERNEY RD
NPI 1942830559
Dietitian, Registered in Bend, OR

Q: What is Rosalie Tierney's NPI number?

The NPI number for Rosalie Tierney is 1942830559. It was assigned to this individual provider in the NPPES registry on January 22, 2020. The provider is also known as Rosalie Shanks Rd.

Q: What is Rosalie Tierney'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 Rosalie Tierney was last updated on November 26, 2025. 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.

Active since January 22, 2020Accepts Medicare Assignment

369 NE REVERE AVE STE 105, BEND, OR 97701(541) 323-3488(541) 323-3483 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 26, 2025, Nov 6, 2024, Oct 6, 2024 and 1 more (4 updates tracked since 2020).

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About Rosalie Tierney Rd NPPES

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

ROSALIE TIERNEY RD (NPI 1942830559) is an individual dietitian, registered in Bend, Oregon, licensed in Oregon (LD-D-10218001) and active in the NPI registry since January 2020. She is a graduate of Other (2019).

NPPES Registry Identity

NPI1942830559

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameROSALIE TIERNEYCredential: RD

Location Address369 NE REVERE AVE STE 105Bend, OR 97701-4082

Mailing Address369 Ne Revere Ave Ste 105Bend, OR 97701-4082 · (541) 323-3488 · Fax (541) 323-3483

Phone(541) 323-3488

Fax(541) 323-3483

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJanuary 22, 2020

Last NPPES UpdateNovember 26, 20254 updates tracked since enumeration

NPPES CertifiedNovember 26, 2025

✔ NPI 1942830559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in OR · LD-D-10218001

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.

Also ListedHealth EducatorTaxonomy 174H00000X

369 NE REVERE AVE STE 105, Bend, OR 97701

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Other Names 1

Former Name (1)Rosalie Shanks Rd

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rosalie Tierney Rd 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 ID244693836

PECOS Enrollment IDI20230830000943

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Diabetes outpatient self-management training services, individual, per 30 minutes G0108

This service involves personalized training sessions, each lasting 30 minutes, to help manage diabetes. It includes guidance on monitoring blood sugar, healthy eating, physical activity, medication usage, and dealing with daily challenges of living with diabetes.

161 services51 patients

Therapy procedure for nutrition management, each 15 minutes 97802

This is a 15-minute session focused on managing your nutrition. A professional will assess your dietary habits and provide personalized advice to improve your health. It can help manage weight, control chronic diseases, and promote overall wellbeing.

60 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.96 – $166.64

Typical copayment $0.00 (range $13.74 – $41.66)

Most-billed visit code NA

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

STEPHANIE ALICE RUSSELL RDN, LD

Dietitian, Registered