Individual provider Active NPI

Jolene Schlegel, CNP

  • Nurse Practitioner
  • Willmar, MN
National Provider Identifier
1063798379
Registry record updated Feb 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F0711128 Issued in MN
Practice address
502 2ND St SW Ste 1
Willmar, MN 56201-3365
Phone
(320) 235-7232
Fax
(320) 231-8602
NPI assigned
Nov 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F0711128 MN Primary

Addresses

Primary practice location

502 2ND St SW Ste 1
Willmar, MN 56201-3365

Mailing address

502 2ND St SW Ste 1
Willmar, MN 56201-3365
Phone (320) 235-7232

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120301000913 MN Practitioner - Nurse Practitioner 2668631193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amy R Ellingson MD PAGroup PAC ID 3375694094, 3 clinicians

Practice addresses (Care Compare)

1037 19TH Ave SW
Willmar, MN 56201-5005
Phone (320) 214-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F0711128MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amy R Ellingson MD PA CurrentSince Nov 6, 2017 Accepting new patients

Locations

1037 19th Ave SW
Willmar, MN 56201
Phone (320) 214-1100

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360281600000",
    "number": "1063798379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 2ND ST SW STE 1",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013365",
            "telephone_number": "320-235-7232",
            "fax_number": "320-231-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 2ND ST SW STE 1",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013365",
            "telephone_number": "320-235-7232",
            "fax_number": "320-231-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLEGEL",
        "first_name": "JOLENE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-01",
        "last_updated": "2013-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "F0711128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willmar, MN

Sources for this page

Verify at the official NPI Registry.