Individual provider Active NPI

Sara Elizabeth Jennerjohn

  • Advanced Practice Midwife
  • Saint Paul, MN
National Provider Identifier
1023670882
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
400 Issued in MN
Practice address
2635 University Ave W Ste 160
Saint Paul, MN 55114-1271
Phone
(651) 254-3500
NPI assigned
Jul 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 120160 NE
Advanced Practice Midwife 367A00000X 400 MN Primary

Addresses

Primary practice location

2635 University Ave W Ste 160
Saint Paul, MN 55114-1271

Mailing address

8170 33Rd Ave S
Ms 21110Q
Bloomington, MN 55425-4516

Other practice location 1

4800 Hospital Pkwy
Beatrice, NE 68310-6906
Phone (402) 228-3117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190716003660 MN Practitioner - Certified Nurse Midwife (CNM) 1254666043 Reassigns benefits to 4 organizations
I20200124001019 WI Practitioner - Certified Nurse Midwife (CNM) 1254666043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
400MNMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Group Health, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Health Services Current Accepting new patients
Group Health, Inc. Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Clinics CurrentSince May 4, 2020 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Clinics CurrentSince May 4, 2020 Accepting new patients
Fairview Express Care CurrentSince Oct 15, 2019 Accepting new patients
Fairview Clinics Current Accepting new patients
Fairview Express Care CurrentSince May 18, 2020 Accepting new patients
Group Health, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Regions Hospital Past Accepting new patients

Locations

303 E Nicollet Blvd
Ste 160
Burnsville, MN 55337
Phone (952) 460-4000

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

400 Stinson Blvd
Fl 2
Minneapolis, MN 55413
Phone (612) 672-2203

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

2680 Snelling Ave N
Ste 200
Saint Paul, MN 55113
Phone (651) 326-1600

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

1983 Sloan Pl
Ste 1
Saint Paul, MN 55117
Phone (651) 326-5700

870 Grand Ave
Saint Paul, MN 55105
Phone (651) 326-5650

2635 University Ave W
Ste 160
Saint Paul, MN 55114
Phone (651) 254-3500

2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800

1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

1825 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

319 S Main St
River Falls, WI 54022
Phone (715) 425-6701

1687 E Division St
River Falls, WI 54022
Phone (715) 425-6701

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1023670882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S",
            "address_2": "MS 21110Q",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554254516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 UNIVERSITY AVE W STE 160",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141271",
            "telephone_number": "651-254-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4800 Hospital Pkwy",
            "address_purpose": "LOCATION",
            "city": "Beatrice",
            "state": "NE",
            "postal_code": "683106906",
            "country_code": "US",
            "telephone_number": "402-228-3117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENNERJOHN",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NE",
            "license": "120160",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MN",
            "license": "400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.