Individual provider Active NPI

Jenessa Ann Stemke, RD

  • Registered Dietitian
  • Corvallis, OR
National Provider Identifier
1215722186
Registry record updated Oct 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
D-10256119 Issued in OR
Practice address
1760 SW 3Rd St
Corvallis, OR 97333-1725
Phone
(844) 538-3511
NPI assigned
Apr 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X D-10256119 OR Primary

Addresses

Primary practice location

1760 SW 3Rd St
Corvallis, OR 97333-1725

Mailing address

1760 SW 3Rd St
Corvallis, OR 97333-1725
Phone (844) 538-3511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251113004263 OR Practitioner - Registered Dietitian Or Nutrition Professional 3173014511 Practice locations: Corvallis, OR

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Oregon Health Sciences University School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1760 SW 3Rd St
Corvallis, OR 97333-1725
Phone (844) 538-3511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D-10256119ORMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Level 11 Nutrition LLC Dietitian, Registered CurrentSince Nov 1, 2025 Accepting new patients

Locations

1760 SW 3rd St
#11
Corvallis, OR 97333

1760 SW 3rd St
Corvallis, OR 97333
Phone (541) 207-3773

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759622400000",
    "number": "1215722186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 SW 3RD ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973331725",
            "telephone_number": "844-538-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 SW 3RD ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973331725",
            "telephone_number": "844-538-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEMKE",
        "first_name": "JENESSA",
        "middle_name": "ANN",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-10-05",
        "certification_date": "2025-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "D-10256119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.