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JEANETTE RAE ELY RDN
NPI 1952049157
Dietitian, Registered in Juneau, AK

Active since May 26, 2022
3260 HOSPITAL DR, JUNEAU, AK 99801(907) 796-8900 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 11, 2025, May 26, 2022 (2 updates tracked since 2022).

About Jeanette Rae Ely Rdn NPPES

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

JEANETTE RAE ELY RDN (NPI 1952049157) is an individual dietitian, registered in Juneau, Alaska, licensed in Alaska (1003875) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1952049157
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameJEANETTE RAE ELYCredential: RDN
Location Address3260 HOSPITAL DRJuneau, AK 99801-7808
Mailing Address3260 Hospital DrJuneau, AK 99801-7808 · (907) 796-8900
Phone(907) 796-8900
Sole ProprietorNo
Enumeration DateMay 26, 2022
Last NPPES UpdateDecember 11, 20252 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
✔ NPI 1952049157 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 AK · 1003875
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.
3260 HOSPITAL DR, Juneau, AK 99801
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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)

Jeanette Rae Ely Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

The Petersburg Medical Center
119 mi
Critical Access
103 FRAM STREET
Petersburg, AK 99833
  • Reassigned Medicare billing, Alaska enrollment
  • 14 clinicians in this Medicare group
NPI 1437122843 (907) 772-4291

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 20

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

CAILEY ANN NEARY
Nurse Practitioner (Family)
3260 HOSPITAL DR
JUNEAU, AK 99801
Juneau City And Borough (907) 796-8900
LESLYE ANN GALEY LPC
Counselor (Professional)
3260 HOSPITAL DR
JUNEAU, AK 99801
Juneau City And Borough (907) 796-8498
NICOLE DAVIS
Behavior Technician
3260 HOSPITAL DR
JUNEAU, AK 99801
Juneau City And Borough (907) 465-7081
KALEAN ANDREA RIELLY
Behavior Technician
3260 HOSPITAL DR
JUNEAU, AK 99801
Juneau City And Borough (907) 723-3689
JESSICA SANGSTER RIBAO FNP-C
Nurse Practitioner (Family)
3260 HOSPITAL DR
JUNEAU, AK 99801
Juneau City And Borough (907) 957-3370
ROBERT D SCHULTS MD
Psychiatry & Neurology (Psychiatry)
3260 HOSPITAL DR
JUNEAU, AK 99801
Juneau City And Borough (907) 796-8498
DR. STEVEN TUDOR PARKER MD
Anesthesiology
3260 HOSPITAL DR
JUNEAU, AK 99801
Juneau City And Borough (907) 586-2611
ROBERT LAWRENCE PARTIN BHS
Behavior Technician
3260 HOSPITAL DR
JUNEAU, AK 99801
Juneau City And Borough (907) 957-4900

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 Jeanette Ely's NPI number?

The NPI number for Jeanette Ely is 1952049157. It was assigned to this individual provider in the NPPES registry on May 26, 2022.

Where is Jeanette Ely located?

Jeanette Ely practices at 3260 Hospital Dr, Juneau, AK 99801. The listed phone number is (907) 796-8900.

What is Jeanette Ely's specialty?

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

Is Jeanette Ely enrolled in Medicare?

Yes. Jeanette Ely is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeanette Ely's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeanette Ely reassigns Medicare benefits to The Petersburg Medical Center (Petersburg, AK). 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 Jeanette Ely'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 Jeanette Ely was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.