Individual provider Active NPI

Jessica Lynn Mann, OD

  • Optometrist
  • Cambridge, MN
National Provider Identifier
1073927869
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3392 Issued in MN
Practice address
120 1St Ave E
Cambridge, MN 55008-1209
Phone
(763) 689-1494
NPI assigned
Jun 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3392 MN Primary

Addresses

Primary practice location

120 1St Ave E
Cambridge, MN 55008-1209

Mailing address

120 1St Ave E
Cambridge, MN 55008-1209
Phone (763) 689-1494

Other names 1

  • Dr. Jessica Lynn Murphy Former name

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140630000132 MN Practitioner - Optometry 8325263601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cambridge Eye Associates PAGroup PAC ID 1658304530, 5 clinicians

Practice addresses (Care Compare)

120 1St Ave E
Cambridge, MN 55008-1209
Phone (763) 689-1494

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3392MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cambridge Eye Associates, P.a. Optometrist CurrentSince Feb 10, 2022 Accepting new patients
Cambridge Eye Associates, P.a. Optometrist PastSince Feb 10, 2022 Accepting new patients

Locations

120 1st Ave E
Cambridge, MN 55008
Phone (763) 689-1494

Organizations & group practices 2

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": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1073927869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 1ST AVE E",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550081209",
            "telephone_number": "763-689-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 1ST AVE E",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550081209",
            "telephone_number": "763-689-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MURPHY",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cambridge, MN

Sources for this page

Verify at the official NPI Registry.