MRS. ROCIO PETERSEN MS, RDN
NPI 1982094645
Dietitian, Registered in Salem, OR

Active since February 02, 2015Accepts Medicare Assignment
3896 BEVERLY AVE NE STE 40, SALEM, OR 97305(503) 588-0076(503) 655-8595 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 11, 2023, Dec 19, 2018 (2 updates tracked since 2018).

About Mrs. Rocio Petersen Ms, Rdn NPPES

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

MRS. ROCIO PETERSEN MS, RDN (NPI 1982094645) is an individual dietitian, registered in Salem, Oregon, licensed in Oregon (LD-D-10196306) and active in the NPI registry since February 2015. She is a graduate of Other (2013).

NPPES Registry Identity

NPI1982094645
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMRS. ROCIO PETERSENCredential: MS, RDN
Location Address3896 BEVERLY AVE NE STE 40Salem, OR 97305-1374
Mailing Address3896 Beverly Ave Ne Ste 40Salem, OR 97305-1374 · (503) 588-0076 · Fax (503) 588-7578
Fax(503) 655-8595
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 2, 2015
Last NPPES UpdateOctober 11, 20232 updates tracked since enumeration
NPPES CertifiedOctober 11, 2023
✔ NPI 1982094645 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 OR · LD-D-10196306
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.
3896 BEVERLY AVE NE STE 40, Salem, OR 97305

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Rocio Petersen Ms, Rdn 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 ID7517313752
PECOS Enrollment IDI20231114003846

Medicare Billing Reassignment

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

Federally Qualified Health Center (FQHC)
3896 BEVERLY AVE NE STE 40 BUILDING J
Salem, OR 97305
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • Also billed through NPI 1740459833 (Washington)
  • 81 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97305 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 6

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

Physician Assistant
3896 BEVERLY AVE NE STE 40
SALEM, OR 97305
Physician Assistant
3896 BEVERLY AVE NE STE 40
SALEM, OR 97305
Physician Assistant
3896 BEVERLY AVE NE STE 40
SALEM, OR 97305
Physician Assistant
3896 BEVERLY AVE NE STE 40
SALEM, OR 97305
Physician Assistant
3896 BEVERLY AVE NE STE 40
SALEM, OR 97305
Family Medicine
3896 BEVERLY AVE NE STE 40
SALEM, OR 97305

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 Rocio Petersen's NPI number?

The NPI number for Rocio Petersen is 1982094645. It was assigned to this individual provider in the NPPES registry on February 2, 2015.

Where is Rocio Petersen located?

Rocio Petersen practices at 3896 Beverly Ave NE Ste 40, Salem, OR 97305. The listed phone number is (503) 588-0076.

What is Rocio Petersen's specialty?

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

Is Rocio Petersen enrolled in Medicare?

Yes. Rocio Petersen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Rocio Petersen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rocio Petersen reassigns Medicare benefits to Yakima Valley Farm Workers Clinic (Salem, OR). 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 Rocio Petersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rocio Petersen accept?

Health plans from Ambetter Health, BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska and 2 other insurers list Rocio Petersen 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 Rocio Petersen was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.