Jessica Wotruba, RD in Glendale, AZ - Medicare Registered Dietitian Or Nutrition Professional Provider

Jessica Wotruba, RD is a medicare enrolled "Dietitian, Registered" provider in Glendale, Arizona. She graduated from medical school in 2021 and has 4 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Am Nutrition Services and her current practice location is 18001 N 79th Ave Ste A12, Glendale, Arizona. You can reach out to her office (for appointments etc.) via phone at (623) 399-6825.

Jessica Wotruba is licensed to practice in Arizona (license number 86147185) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1861164048.

Contact Information

	Jessica Wotruba, RD
	18001 N 79th Ave Ste A12, Glendale, AZ 85308-8398
	(623) 399-6825
	(623) 505-3474

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Wotruba
Gender	Female
Speciality	Registered Dietitian Or Nutrition Professional
Experience	4 Years
Location	18001 N 79th Ave Ste A12, Glendale, Arizona
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jessica Wotruba graduated from medical school in 2021

NPI Data:

NPI Number: 1861164048
Provider Enumeration Date: 10/05/2021
Last Update Date: 10/30/2025

Medicare PECOS Information:

PECOS PAC ID: 5698173144
Enrollment ID: I20211013002479

Medical Identifiers

Medical identifiers for Jessica Wotruba such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861164048	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	86147185 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Am Nutrition Services	1254430580	48

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jessica Wotruba allows following entities to bill medicare on her behalf.

Provider Name	Am Nutrition Services
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1003011602 PECOS PAC ID: 1254430580 Enrollment ID: O20070627000063

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Wotruba is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jessica Wotruba, RD 18001 N 79th Ave Ste A12, Glendale, AZ 85308-8398 Ph: (623) 399-6825	Jessica Wotruba, RD 18001 N 79th Ave Ste A12, Glendale, AZ 85308-8398 Ph: (623) 399-6825

Reviews and Comments

Dietitian, Registered in Glendale, AZ

Am Nutrition Services Dietitian Medicare: Medicare Enrolled Practice Location: 18001 N 79th Ave Ste A12, Glendale, AZ 85308 Phone: 623-399-6825 Fax: 623-505-3474
Cara Jansen, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 18001 N 79th Ave Ste A12, Glendale, AZ 85308 Phone: 623-399-6825 Fax: 623-505-3474
Kelly Creed, RDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 18001 N 79th Ave Ste A12, Glendale, AZ 85308 Phone: 623-399-6825
Ms. Kaitlyn Marie Shannon, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 Phone: 602-341-5248 Fax: 602-702-5219
Ms. Kathryn Anne Mason, REGISTERED DIETITIAN Dietitian Medicare: Medicare Enrolled Practice Location: 17505 N 79th Ave, Suite 407, Glendale, AZ 85308 Phone: 623-399-6825 Fax: 623-505-3474
Daishawn Roylance, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 18001 N 79th Ave Ste A12, Glendale, AZ 85308 Phone: 623-399-6825 Fax: 623-505-3474
Defy Diabetes, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 18301 N 79th Ave Ste C136, Glendale, AZ 85308 Phone: 623-500-6207

Jessica Wotruba, RD - Medicare Dietitian in Glendale, AZ