Chad Hetherwick, MS, RDN
NPI 1104023969 · Registered Dietitian · Prescott Valley, AZ
Enrolled with Medicare as Practitioner - Registered Dietitian Or Nutrition Professional · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Chad Hetherwick, MS, RDN is a Registered Dietitian provider in Prescott Valley, AZ (NPI 1104023969).
Provider details
- NPI number
- 1104023969
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RDN
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Dietary & Nutritional Service Providers
- Pediatric Nutrition Registered Dietitian133VN1004X
Dietary & Nutritional Service Providers
- Renal Nutrition Registered Dietitian133VN1005X
Dietary & Nutritional Service Providers
- Metabolic Nutrition Registered Dietitian133VN1006X
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
235 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure for Nutrition Management, Each 15 Minutes97802 | 135 | $30 |
| Therapy Procedure Reassessment for Nutrition Management, Each 15 Minutes97803 | 100 | $26 |
Typical Medicare-allowed amounts for these services range $26–$30 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-06-27
- Last updated
- 2020-11-03
- Certified
- 2020-11-03
Frequently asked questions
- What is Chad Hetherwick's NPI number?
- Chad Hetherwick's National Provider Identifier (NPI) is 1104023969, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Chad Hetherwick's specialty?
- Chad Hetherwick is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Chad Hetherwick located?
- Chad Hetherwick's practice location on file with NPPES is 8508 N Prairie Vw, Prescott Valley, AZ 86315-9089.
- What is Chad Hetherwick's phone number?
- The practice phone number listed in the NPPES registry for Chad Hetherwick is (928) 772-8652.
- Does Chad Hetherwick accept Medicare?
- Chad Hetherwick is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Chad Hetherwick's NPI active?
- Yes — Chad Hetherwick's NPI (1104023969) is active in the NPPES registry as of the last update on 2020-11-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.