Jill Prinsen, CP

Primary specialty

ProsthetistTaxonomy code 224P00000X

Practice address

360 Sherman St
Suite 299
Saint Paul, MN 55102-2564

Phone

(651) 291-9000

Fax

(651) 291-8894

NPI assigned

May 10, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Westlake Orthotics and Prosthetics Inc

  • Prosthetic/Orthotic Supplier
  • Saint Paul, MN
  • NPI 1104163187

  Prosthetist

  NPD (past)

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273449600000",
    "number": "1043538531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SHERMAN ST",
            "address_2": "SUITE 299",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022564",
            "telephone_number": "651-291-9000",
            "fax_number": "651-291-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SHERMAN ST",
            "address_2": "SUITE 299",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022564",
            "telephone_number": "651-291-9000",
            "fax_number": "651-291-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINSEN",
        "first_name": "JILL",
        "credential": "CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-10",
        "last_updated": "2010-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABC CERTIFICATION NUMBER",
            "identifier": "CP003671",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marisa Priess
• Primary Care Chiropractic Clinic, P.a.
• Primary Functions LLC
• Primary Wellness & Injury Center, P.a.
• Prime Community Services LLC
• Deanne Printon, MD
• Anthony R Prisco, M.D., PH.D.
• Pristine Mental Health Services LLC
• Kimberly R Pritchett, OTR/L
• Sarah Ann Privette, AU.D.

• Prosthetist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Prosthetist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.