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FITVENTURES PEWAUKEE INC
NPI 1962379792
Dietitian, Registered in Pewaukee, WI

Active since October 17, 2025
1450 CAPITOL DR UNIT C, PEWAUKEE, WI 53072(262) 347-1843(855) 978-2028 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Fitventures Pewaukee Inc NPPES

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

FITVENTURES PEWAUKEE INC (NPI 1962379792) is a healthcare organization registered as a dietitian, registered in Pewaukee, Wisconsin and active in the NPI registry since October 2025. The organization lists Jayden Clemetson, Owner, as its authorized official.

NPPES Registry Identity

NPI1962379792
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameFITVENTURES PEWAUKEE INC
Location Address1450 CAPITOL DR UNIT CPewaukee, WI 53072-2608
Mailing Address1450 Capitol Dr Unit CPewaukee, WI 53072-2608 · (262) 347-1843 · Fax (855) 978-2028
Phone(262) 347-1843
Fax(855) 978-2028
Organization SubpartNo
Authorized OfficialJayden ClemetsonOwner · (262) 347-1843
Enumeration DateOctober 17, 2025
NPPES CertifiedOctober 17, 2025
✔ NPI 1962379792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
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.
1450 CAPITOL DR UNIT C, Pewaukee, WI 53072
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fitventures Pewaukee 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 Fitventures Pewaukee Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jayden Clemetson, RDN
Registered Dietitian or Nutrition Professional
NPI 1487381778
514 RIVERVIEW AVE
Waukesha, WI 53188
(262) 896-8440
4.3 mi

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 Fitventures Pewaukee Inc's NPI number?

The NPI number for Fitventures Pewaukee Inc is 1962379792. It was assigned to this organization in the NPPES registry on October 17, 2025.

Where is Fitventures Pewaukee Inc located?

Fitventures Pewaukee Inc is located at 1450 Capitol Dr Unit C, Pewaukee, WI 53072. The listed phone number is (262) 347-1843.

What is Fitventures Pewaukee Inc's specialty?

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

Is Fitventures Pewaukee Inc enrolled in Medicare?

Yes. Fitventures Pewaukee Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fitventures Pewaukee Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Fitventures Pewaukee 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.

When was this NPI record last updated?

The NPPES record for Fitventures Pewaukee Inc was last updated on October 17, 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.