Julie D Bayus, RD
Individual provider Active NPI Registered Dietitian · Janesville, WI
NPI 1275993271 · NPPES record last updated Mar 3, 2016
Key facts
- NPI
- 1275993271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 2970-29 (WI)
- Practice address
- 1010 N Washington St
Janesville, WI 53548-1500 - Phone
- (608) 741-2459
- Fax
- (608) 741-2438
- NPI assigned
- Mar 3, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Health System Corporation
Practice addresses (Care Compare)
1010 N Washington St
Janesville, WI 53548-1500
Phone (608) 756-5555
2000 Lake Ave
Woodstock, IL 60098-7401
Phone (815) 337-7100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI, IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160316000915 | WI | Practitioner - Registered Dietitian Or Nutrition Professional | 4880990977 | Reassigns benefits to 1 organization |
| I20231019001859 | IL | Practitioner - Registered Dietitian Or Nutrition Professional | 4880990977 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164-004138 | IL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health System Corporation | Current |
Accepting new patients | |
| Mercy Health System Corporation | Current |
Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Mercy Health System Corporation | Past | Accepting new patients |
Locations
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
348 S Division St
Harvard, IL 60033
Phone (815) 943-1122
2000 Lake Ave
Woodstock, IL 60098
Phone (815) 337-4116
1010 N Washington St
Janesville, WI 53548
Phone (608) 741-2430
1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2970-29 | WI | Yes |
| Registered Dietitian | 133V00000X | 164-004138 | IL |
Addresses
Primary practice location
1010 N Washington St
Janesville, WI 53548-1500
Mailing address
1010 N Washington St
Janesville, WI 53548-1500
Phone (608) 741-2459
Other names
- Julie D Yeise
Other providers in Janesville, WI
- Holly R Baumel
- Victoria L Baumel
- Ryndon Negrillo Bautista
- John A Bauwens
- David S Bayley
- Eddie Richard Beach III
- Ryne R Bean
- Daniel B Beardmore
- Hannah Bechen
- Amber L Becher
All providers in Janesville, WI · Registered Dietitian in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.