NPIMap

Individual provider Active NPI

Laurie Jepson, MD

  • Internal Medicine Physician
  • Eagan, MN
National Provider Identifier
1073538559
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
38212 Issued in MN
Practice address
3305 Central Park Village Dr Ste 200
Eagan, MN 55121-7707
Phone
(651) 406-8860
Fax
(651) 688-7864
NPI assigned
Jul 13, 2006
Last updated
Nov 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 38212 MN Primary

Addresses

Primary practice location

3305 Central Park Village Dr Ste 200
Eagan, MN 55121-7707

Mailing address

210 9TH St SE
Rochester, MN 55904-6756
Phone (507) 288-3443

Other practice location 1

210 9th St SE
Rochester, MN 55904-6756
Phone (507) 288-3443

Other identifiers 1

IdentifierTypeStateIssuer
100022500MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100601000828 MN Practitioner - Internal Medicine 7810026820 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1233 34TH St NW
Bemidji, MN 56601-5112
Phone (218) 333-5522

1611 Anne St NW
Bemidji, MN 56601-5114
Phone (218) 333-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Clinics CurrentSince Dec 3, 2019 Accepting new patients
Fairview Clinics Current Accepting new patients
Fairview Clinics CurrentSince Dec 3, 2019 Accepting new patients
St. Mary's Regional Medical Center CurrentSince May 26, 2023 Accepting new patients
Sanford Health of Northern Minnesota Current Accepting new patients
Sanford Health of Northern Minnesota Internal Medicine CurrentSince Nov 11, 2024 Accepting new patients
Sanford Health of Northern Minnesota CurrentSince Nov 11, 2024 Accepting new patients
St. Mary's Regional Medical Center CurrentSince May 26, 2023 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
Clallam County Public Hospital District 2 PastSince Feb 7, 2022 Accepting new patients

Locations

3 Willow Run
Auburn, ME 04210
Phone (207) 513-3550

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

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

1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481

3305 Central Park Village Dr
Ste 200
Saint Paul, MN 55121
Phone (651) 406-8860

Interoperability endpoints

  • Direct secure messaging: ljepson96998@edirect.chehr.org

Organizations & group practices 10

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

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1073538559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 9TH ST SE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559046756",
            "telephone_number": "507-288-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 CENTRAL PARK VILLAGE DR STE 200",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551217707",
            "telephone_number": "651-406-8860",
            "fax_number": "651-688-7864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 9th St SE",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559046756",
            "country_code": "US",
            "telephone_number": "507-288-3443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEPSON",
        "first_name": "LAURIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "38212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100022500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

Verify at the official NPI Registry.