Organization Active NPI

Sleep Supply of Willmar, LLC

  • Oxygen Equipment & Supplies (DME)
  • Willmar, MN
National Provider Identifier
1013347913
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
SLEEP SUPPLY OF WILLMAR, LLC
Practice address
2100 19TH Ave SW Ste 2
Willmar, MN 56201-5287
Phone
(320) 441-2053
Fax
(320) 441-2052
NPI assigned
Nov 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Jarad Ripperger
Title
Director
Phone
(320) 441-2104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

2100 19TH Ave SW Ste 2
Willmar, MN 56201-5287

Mailing address

2100 19TH Ave SW Ste 2
Willmar, MN 56201-5287
Phone (320) 441-2053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170816002215 MN DME Supplier - Medical Supply Company 8123390796 Practice locations: Willmar, MN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Sleep Supply of Willmar, LLC2100 19TH Ave SW, Willmar, MN 56201-5287(320) 441-2104 Continuous Positive Airway Pressure (CPAP) Devices|Respiratory Assist Devices Does not accept assignmentParticipating since May 10, 2017

National Provider Directory

National Provider Directory

Locations

2100 19th Ave SW
Ste 2
Willmar, MN 56201
Phone (320) 441-2053

2100 19th Ave SW
Willmar, MN 56201
Phone (320) 235-2544

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1013347913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 19TH AVE SW STE 2",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562015287",
            "telephone_number": "320-441-2053",
            "fax_number": "320-441-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 19TH AVE SW STE 2",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562015287",
            "telephone_number": "320-441-2053",
            "fax_number": "320-441-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP SUPPLY OF WILLMAR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "RIPPERGER",
        "authorized_official_first_name": "JARAD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "320-441-2104",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willmar, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.