Active NPI
Jenessa Ann Stemke, RD
- Registered Dietitian
- Corvallis, OR
National Provider Identifier
1215722186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- D-10256119
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| D-10256119 | OR | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Level 11 Nutrition LLC | Dietitian, Registered | Current | 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.