JAYANN LYNN HASSAN (RD, LD) – Registered Dietitian, NPI 1487788915

JAYANN LYNN HASSAN (RD, LD) is a healthcare provider. based in Oakdale, Minnesota. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials RD, LD. They hold a License No. 2541 (MN). The NPI Number for JAYANN LYNN HASSAN (RD, LD) is 1487788915

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
JAYANN LYNN HASSAN (RD, LD)
NPI
1487788915
Phone
(651) 241-5664
Address
5680 HADLEY AVE N APT 336
Enumeration Date
15 March 2007
Last Update Date
12 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9528351311
Graduation Year
2004 (22 years ago)
PAC ID
5193246197
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20250306002089
Address ID
MN554354551ED7373XSXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

277 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in MN

Provider Addresses for JAYANN LYNN HASSAN (RD, LD)

  • 5680 HADLEY AVE N APT 336

    OAKDALE, MN 551281038

    Phone: (651) 241-5664

    Type: Mailing

  • 333 SMITH AVE N

    UNITED HOSPITAL

    SAINT PAUL, MN 551022344

    Phone: (651) 241-5658

    Type: Location

  • 7373 FRANCE AVE S STE 202

    EDINA, MN 554354551

    Phone: (952) 835-1311

    Fax: (952) 428-0099

    Type: Location

  • 333 Smith Ave N

    United Hospital

    Saint Paul, MN 551022344

    Phone: (651) 241-5658

    Type: Location

  • 2925 CHICAGO AVE

    MINNEAPOLIS, MN 554071321

    Phone: (612) 262-9035

    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: 2025-03-06

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
I20250306002089IRegistered Dietitian Or Nutrition ProfessionalMNTBD

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 55128)

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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: 4587573613View full group profile

Reviews

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Frequently asked questions

What federal number belongs to JAYANN LYNN HASSAN (RD, LD)?
The federal identifier for JAYANN LYNN HASSAN (RD, LD) is NPI 1487788915.
Is JAYANN LYNN HASSAN (RD, LD) active in the national directory?
JAYANN LYNN HASSAN (RD, LD)'s public NPI profile is in an active state.
Can you summarize JAYANN LYNN HASSAN (RD, LD)'s specialty in plain language?
Clinically, the directory lists JAYANN LYNN HASSAN (RD, LD) with Registered Dietitian. Clinical services aligned with this taxonomy classification.
What location shows for JAYANN LYNN HASSAN (RD, LD)?
We surface Oakdale, Minnesota for JAYANN LYNN HASSAN (RD, LD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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