ROSALIE TIERNEY (RD) – Registered Dietitian, NPI 1942830559

ROSALIE TIERNEY (RD) is a healthcare provider. based in Edgewater, Colorado. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials RD. They hold a License No. LD-D-10218001 (OR). The NPI Number for ROSALIE TIERNEY (RD) is 1942830559

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
ROSALIE TIERNEY (RD)
NPI
1942830559
Phone
(812) 249-4507
Address
2575 HARLAN ST
Enumeration Date
22 January 2020
Last Update Date
26 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5413233488
Graduation Year
2019 (7 years ago)
PAC ID
0244693836
Group Practice PAC ID
2769785609
Professional Enrollment ID
I20230830000943
Address ID
OR977014082BE369XXAVEX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

136 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in CO

Provider Addresses for ROSALIE TIERNEY (RD)

  • 2575 HARLAN ST

    EDGEWATER, CO 802141152

    Phone: (812) 249-4507

    Type: Mailing

  • 2625 S COLORADO BLVD

    DENVER, CO 802225910

    Phone: (812) 249-4507

    Type: Location

  • 369 NE REVERE AVE STE 105

    BEND, OR 977014082

    Phone: (541) 323-3488

    Fax: (541) 323-3483

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230830000943IRegistered Dietitian Or Nutrition ProfessionalORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80214)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769785609View full group profile
NameSpecialtyState
Registered Dietitian Or Nutrition ProfessionalWA
-OR
Registered Dietitian Or Nutrition ProfessionalWA
Registered Dietitian Or Nutrition ProfessionalAK
-OR
-OR
Registered Dietitian Or Nutrition ProfessionalOR
Registered Dietitian Or Nutrition ProfessionalOR

Reviews

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Frequently asked questions

Can I use this page to confirm ROSALIE TIERNEY (RD)'s NPI?
Yes. ROSALIE TIERNEY (RD) is listed with NPI 1942830559 in the public NPI dataset.
Can I rely on ROSALIE TIERNEY (RD) being an active provider?
As of the registry snapshot, ROSALIE TIERNEY (RD) is marked active.
What is ROSALIE TIERNEY (RD) best known for clinically?
Directory data describes ROSALIE TIERNEY (RD) with Registered Dietitian. Clinical services aligned with this taxonomy classification.
Does ROSALIE TIERNEY (RD) list a practice location?
Patients near Edgewater, Colorado may find ROSALIE TIERNEY (RD) in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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