James W Jessen, MD
Individual provider Active NPI Family Medicine Physician · Glencoe, MN
NPI 1083692008 · NPPES record last updated Nov 14, 2019
Key facts
- NPI
- 1083692008
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 27606 (MN)
- Practice address
- 1805 Hennepin Ave N
Glencoe, MN 55336-1416 - Phone
- (320) 864-3121
- NPI assigned
- Jan 9, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060413000108 | MN | Practitioner - Family Practice |
8426067851 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glencoe Regional Health Services | Current |
Accepting new patients | |
| River'S Edge Hospital & Clinic | Current |
Accepting new patients | |
| Glencoe Regional Health Services | Current |
Accepting new patients |
Locations
1805 Hennepin Ave N
Glencoe, MN 55336
Phone (320) 864-3121
1900 Sunrise Dr
Saint Peter, MN 56082
Phone (507) 931-2200
Interoperability endpoints
- jjessen83357@excellian.direct.allina.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 27606 | MN | Yes |
Addresses
Primary practice location
1805 Hennepin Ave N
Glencoe, MN 55336-1416
Mailing address
1805 Hennepin Ave N
Glencoe, MN 55336-1416
Phone (320) 864-3121
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115267 | Other | MN | UCARE |
| 2178707 | Other | MN | AMERICAS PPO |
| 933772500 | Medicaid | MN | |
| NA2951011066 | Other | MN | PREFFERED ONE |
| P0010642 | Other | RR MEDICARE | |
| 41084933956001C037 | Other | CHAMPUS | |
| 0114591 | Other | MN | MEDICA |
| 41375JE | Other | MN | BCBS |
| HP21619 | Other | MN | HEALTH PARTNERS |
Other providers in Glencoe, MN
- Sherry Sue Henkelmann
- Kelly Jo Higgins
- Diane K Hoese
- Independent School District No 2859
- Sadie Ann Jenkins
- John Mark Johnson
- Nicholas Ryan Johnson
- Randy Robert Johnson
- Journey Mental Health Services PLC
- Laura Junker
All providers in Glencoe, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.