Jacqlyn Raivo, RDN
NPI 1740746403ActiveIndividual· Dietitian, Registered· Meridian, ID
Dietitian, Registered (RDN) with Rocky Mountain Diabetes and Osteoporosis Center PA, practicing in Meridian, Idaho. Medicare paid $5,090 for services to 46 patients in 2024.
Overview
| NPI | 1740746403 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RDN |
| Sole proprietor | No |
| NPI issued | Feb 18, 2019 |
| Last updated in NPPES | Feb 18, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | D1101 | ID |
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 (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 46 |
|---|---|
| Services billed | 158 across 3 procedure codes |
| Paid by Medicare | $5,090 |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
Medical group
- Rocky Mountain Diabetes and Osteoporosis Center PAIdaho Falls, ID · 15 clinicians
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All 52 registered dietitians in Meridian · All registered dietitians in Idaho