HANNAH BJERKE – Registered Dietitian, NPI 1003574799

HANNAH BJERKE is a healthcare provider. based in Roscoe, Illinois. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold a License No. 86172558 (). The NPI Number for HANNAH BJERKE is 1003574799

Main info

Female
5 Years Of Experience
Name
HANNAH BJERKE
NPI
1003574799
Phone
Not provided
Address
11248 WALTON DR
Enumeration Date
30 November 2021
Last Update Date
24 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9724229180
Graduation Year
2021 (5 years ago)
PAC ID
0143612051
Group Practice PAC ID
5991064487
Professional Enrollment ID
I20220126000274
Address ID
TX750756911PL400XXPLXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:4State licenses:1Digital endpointsOther names

529 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in TX

Provider Addresses for HANNAH BJERKE

  • 11248 WALTON DR

    ROSCOE, IL 610738122

    Phone:

    Type: Mailing

  • 700 E PARK BLVD STE 206

    PLANO, TX 750745472

    Phone: (972) 422-9180

    Type: Location

  • 400 CHISHOLM PL STE 100

    PLANO, TX 750756911

    Phone: (972) 422-9180

    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: 2022-01-26

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
I20220126000274IRegistered Dietitian Or Nutrition ProfessionalTXTBD

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 61073)

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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: 5991064487View full group profile
NameSpecialtyState
Registered Dietitian Or Nutrition ProfessionalIL
-TX
Registered Dietitian Or Nutrition ProfessionalTX
-TX
-TX
-TX
Registered Dietitian Or Nutrition ProfessionalTX
Registered Dietitian Or Nutrition ProfessionalTX
Registered Dietitian Or Nutrition ProfessionalTX
Registered Dietitian Or Nutrition ProfessionalTX

Reviews

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Frequently asked questions

Can I use this page to confirm HANNAH BJERKE's NPI?
Yes. HANNAH BJERKE is listed with NPI 1003574799 in the public NPI dataset.
Is HANNAH BJERKE listed as active for patients and plans?
The listing shows HANNAH BJERKE as active in the NPI system.
What is HANNAH BJERKE's specialty?
The listing groups HANNAH BJERKE with Registered Dietitian. Clinical services aligned with this taxonomy classification.
What area does HANNAH BJERKE serve?
HANNAH BJERKE's listing highlights Roscoe, Illinois; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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