Jennifer Rose Bailey, PHD
Individual provider Active NPI Clinical Psychologist · Red Wing, MN
NPI 1114448156 · NPPES record last updated Apr 26, 2023
Key facts
- NPI
- 1114448156
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- LP6912 (MN)
- Practice address
- 701 Hewitt Blvd
Red Wing, MN 55066-2848 - Phone
- (651) 267-5000
- NPI assigned
- Jun 29, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mayo Clinic Health System-Southeast Minnesota Region
Practice addresses (Care Compare)
701 Hewitt Blvd
Red Wing, MN 55066-2848
Phone (651) 267-5000
Hospital & facility affiliations
- Mayo Clinic Health System in Red Wing
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230403002241 | MN | Practitioner - Clinical Psychologist | 6709251820 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Health System-Southeast Minnesota Region | Current |
Accepting new patients | |
| Mayo Clinic Health System-Southeast Minnesota Region | Current |
Accepting new patients |
Locations
404 W Fountain St
Albert Lea, MN 56007
Phone (507) 377-6285
701 Hewitt Blvd
Red Wing, MN 55066
Phone (507) 377-6285
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
Interoperability endpoints
- jbailey1940574@ehrdirect.mayoclinicmsg.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | GA | ||
| Clinical Psychologist | 103TC0700X | LP6912 | MN | Yes |
Addresses
Primary practice location
701 Hewitt Blvd
Red Wing, MN 55066-2848
Mailing address
200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2551
Other practice location 1
200 1st St SW
Rochester, MN 55905-0001
Phone (507) 284-2551
Other practice location 2
One Freedom Way
Augusta, GA 30904
Phone (706) 733-0188 ext. 6986
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbailey1940574@ehrdirect.mayoclinicmsg.org |
Other providers in Red Wing, MN
- Asp Dental, PC
- Ericka Atkinson
- Augustine Chiropractic LLC
- Abby Louise Axelson
- David W Bahl
- Daniel Martin Balaun
- Kylie H H Balaun
- Lisa Joyce Balaun
- Balcome and Dicke Psychology Professionals
- Kim Stacy Baldwin
All providers in Red Wing, MN · Clinical Psychologist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2023. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.