Neogenesis Nutrition Inc
NPI 1861191868 · Health Service Clinic/Center · University Place, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Neogenesis Nutrition Inc is a Health Service Clinic/Center organization in University Place, WA (NPI 1861191868).
Provider details
- NPI number
- 1861191868
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Champion, Owner(253) 507-5775
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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.
Practice location
Mailing address
Additional practice locations (1)
- 2607 Bridgeport Way W Ste 2mUniversity Place, WA 98466-4725Phone: (253) 507-5775
Registry dates
- Enumerated
- 2023-02-28
- Last updated
- 2025-11-05
- Certified
- 2025-11-05
Frequently asked questions
- What is Neogenesis Nutrition Inc's NPI number?
- Neogenesis Nutrition Inc's National Provider Identifier (NPI) is 1861191868, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Neogenesis Nutrition Inc?
- Neogenesis Nutrition Inc is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Neogenesis Nutrition Inc located?
- Neogenesis Nutrition Inc's practice location on file with NPPES is 7018 59th Street Ct W, University Place, WA 98467-2172.
- What is Neogenesis Nutrition Inc's phone number?
- The practice phone number listed in the NPPES registry for Neogenesis Nutrition Inc is (253) 507-5775.
- Does Neogenesis Nutrition Inc accept Medicare?
- Neogenesis Nutrition Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Neogenesis Nutrition Inc?
- The authorized official listed on Neogenesis Nutrition Inc's NPPES record is Jennifer Champion, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Neogenesis Nutrition Inc's NPI active?
- Yes — Neogenesis Nutrition Inc's NPI (1861191868) is active in the NPPES registry as of the last update on 2025-11-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.