Jesse Riesenberger
Community Health Worker in Juneau, AK. Individual provider (NPI-1).
NPI number1356935233
StatusActive
Last updated in NPPESFeb 22, 2021
Details
- NPI
- 1356935233
- Entity type
- Individual (NPI-1)
- Name
- Jesse Riesenberger
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 22, 2021
- Certification date
- Feb 22, 2021
- Last updated
- Feb 22, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
2223 Jordan AveJuneau, AK 99801-8050
Phone 907-523-5900
Mailing address
360 W Benson Blvd Ste 300Anchorage, AK 99503-3953
Phone 907-565-1200
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 94 Community Health Worker providers in Juneau · All 1,596 providers in Juneau
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