Heather Jerzak, RD, CD
NPI 1124455183ActiveIndividual· Dietitian, Registered· Black River Falls, WI
Dietitian, Registered (RD, CD) with Ho Chunk Nation, practicing in Black River Falls, Wisconsin. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1124455183 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RD, CD |
| Sole proprietor | No |
| NPI issued | Oct 4, 2013 |
| Last updated in NPPES | Feb 1, 2022 |
| Certified by provider | Feb 1, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 2652-29 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (WI) |
|---|
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
Medical group
- Ho Chunk NationBlack River Falls, WI · 28 clinicians
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