JENNIFER VIMBOR (MS, RD) – Registered Dietitian, NPI 1346443165
Registered Dietitian
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
311 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in IL
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Provider Addresses for JENNIFER VIMBOR (MS, RD)
Fine Arts Building, 410-412, South Michigan Avenue, Printer's Row, Loop, Chicago, Cook County, Illinois, 60605, United States
#614
CHICAGO, IL 606051308
Phone: (312) 235-0050
Type: Mailing
Advocate Illinois Masonic Hospital, 836, West Wellington Avenue, Lake View, Lakeview, Chicago, Lake View Township, Cook County, Illinois, 60657, United States
CHICAGO, IL 606575147
Phone: (773) 296-5912
Type: Location
391 SEQUOIA CIR
BLAIRSDEN GRAEAGLE, CA 961039411
Phone: (917) 783-6863
Type: Mailing
500 1ST AVE
PORTOLA, CA 961229406
Phone: (530) 832-6532
Type: Location
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: 2024-06-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240604003322 | I | Registered Dietitian Or Nutrition Professional | CA | TBD |
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.
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 60605)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | CA | |
| Nurse Practitioner | CA | |
| Endocrinology, Internal Medicine, Endocrinology | CA | |
| Orthopedic Surgery | CA | |
| Family Practice | CA | |
| Family Practice, Emergency Medicine | CA | |
| Diagnostic Radiology | WI | |
| Emergency Medicine | CA | |
| Emergency Medicine, Internal Medicine | CA | |
| - | CA |
Reviews
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