MS. JEANA BARBARA VAN DYKE (RD, LD, CDE) – Registered Dietitian, NPI 1972680726
Registered Dietitian
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MS. JEANA BARBARA VAN DYKE (RD, LD, CDE)
Samaritan Albany General Hospital, 1046, 6th Avenue Southwest, Albany historic districts, Albany, Linn County, Oregon, 97321, United States
ALBANY, OR 973211916
Phone: (541) 812-4000
Fax: (541) 812-4145
Type: Mailing
631, Elm Street Southwest, Albany, Linn County, Oregon, 97321, United States
SUITE 202
ALBANY, OR 973211952
Phone: (541) 812-4844
Fax: (541) 812-4849
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: 2012-01-05
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 |
|---|---|---|---|---|
| I20120105000537 | I | Registered Dietitian Or Nutrition Professional | OR | 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 97321)
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