HEATHER JERZAK (RD, CD) – Registered Dietitian, NPI 1124455183
Registered Dietitian
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
207 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in WI
Provider Addresses for HEATHER JERZAK (RD, CD)
N6520 LUMBER JACK GUY RD
BLACK RIVER FALLS, WI 54615
Phone: (888) 685-4422
Type: Mailing
N6520 LUMBERJACK GUY RD
BLACK RIVER FALLS, WI 546155405
Phone: (715) 284-9851
Fax: (715) 284-5150
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: 2013-12-17
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 |
|---|---|---|---|---|
| I20131217000509 | I | Registered Dietitian Or Nutrition Professional | WI | 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 54615)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| Mental Health Counselor | WI | |
| Family Practice | WI | |
| Registered Dietitian Or Nutrition Professional | WI | |
| - | WI | |
| - | WI | |
| Clinical Social Worker | WI | |
| Registered Dietitian Or Nutrition Professional | WI | |
| Nurse Practitioner | WI | |
| Registered Dietitian Or Nutrition Professional | WI |
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