MRS. JENNA BISHOP (RD, LDN) – Registered Dietitian, NPI 1518328665

MRS. JENNA BISHOP (RD, LDN) is a healthcare provider. based in Peoria, Illinois. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials RD, LDN. They hold a License No. 4791 (TN). The NPI Number for MRS. JENNA BISHOP (RD, LDN) is 1518328665

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JENNA BISHOP (RD, LDN)
NPI
1518328665
Phone
(309) 282-1600
Address
600 NE WATER STREET
Enumeration Date
17 March 2016
Last Update Date
3 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6154926116
Graduation Year
2009 (17 years ago)
PAC ID
5294263596
Group Practice PAC ID
1951750595
Professional Enrollment ID
I20250115000357
Address ID
TN370752399HE355XXRDXX501
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:10State licenses:2Digital endpointsOther names

317 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in IL

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Provider Addresses for MRS. JENNA BISHOP (RD, LDN)

  • 600, Northeast Water Street, Peoria, Peoria County, Illinois, 61603, United States

    PEORIA, IL 61637

    Phone: (309) 282-1600

    Type: Mailing

  • 600 NE Water Street

    Peoria, IL 61637

    Phone: (309) 282-1600

    Type: Location

  • 3127 W CHADWICK LN

    PEORIA, IL 616141018

    Phone: (309) 713-6502

    Type: Mailing

  • 355 NEW SHACKLE ISLAND RD STE 128B

    HENDERSONVILLE, TN 370752479

    Phone: (615) 492-6116

    Fax: (615) 334-8962

    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: 2025-01-15

PECOS data refreshed: 2026-06-15

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
I20250115000357IRegistered Dietitian Or Nutrition ProfessionalTNTBD

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 61637)

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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: 1951750595View full group profile
NameSpecialtyState
Registered Dietitian Or Nutrition ProfessionalOH
Physician AssistantTN
General SurgeryIL
Physician AssistantTN

Reviews

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Frequently asked questions

Does MRS. JENNA BISHOP (RD, LDN) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. JENNA BISHOP (RD, LDN) uses 1518328665.
Does CMS list MRS. JENNA BISHOP (RD, LDN) as active?
Yes — MRS. JENNA BISHOP (RD, LDN) is active in the NPI listing used on this page.
What is MRS. JENNA BISHOP (RD, LDN)'s specialty?
The listing groups MRS. JENNA BISHOP (RD, LDN) with Registered Dietitian. Clinical services aligned with this taxonomy classification.
What area does MRS. JENNA BISHOP (RD, LDN) serve?
MRS. JENNA BISHOP (RD, LDN)'s listing highlights Peoria, Illinois; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.