NPIMap

Individual provider Active NPI

John Joseph Pelzel, M.D.

  • Family Medicine Physician
  • Sleepy Eye, MN
National Provider Identifier
1124319025
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
55423 Issued in MN
Practice address
400 4TH Ave NW
Sleepy Eye, MN 56085-1109
Phone
(507) 794-3571
Fax
(507) 794-5950
NPI assigned
Apr 26, 2011
Last updated
Oct 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 55423 MN Primary

Addresses

Primary practice location

400 4TH Ave NW
Sleepy Eye, MN 56085-1109

Mailing address

400 4TH Ave NW
Sleepy Eye, MN 56085-1109
Phone (507) 794-3571

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jpelzel@direct.semedicalcenter.org Health Information Exchange (HIE)

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
I20120913000483 MN Practitioner - Family Practice 1557519790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of Sleepy EyeGroup PAC ID 0840102794, 10 clinicians

Practice addresses (Care Compare)

400 4TH Ave NW
Sleepy Eye, MN 56085-1109
Phone (507) 794-3691

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55423MNMDHealth Service Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
City of Sleepy Eye CurrentSince Aug 1, 2014 Accepting new patients
City of Sleepy Eye CurrentSince Aug 1, 2014 Accepting new patients
Janning ENT Center, LLC Past Accepting new patients

Locations

400 4th Ave NW
Sleepy Eye, MN 56085
Phone (507) 794-3571

420 4th Ave NW
Sleepy Eye, MN 56085
Phone (507) 794-3571

Organizations & group practices 3

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 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1124319025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 4TH AVE NW",
            "city": "SLEEPY EYE",
            "state": "MN",
            "postal_code": "560851109",
            "telephone_number": "507-794-3571",
            "fax_number": "507-794-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 4TH AVE NW",
            "city": "SLEEPY EYE",
            "state": "MN",
            "postal_code": "560851109",
            "telephone_number": "507-794-3571",
            "fax_number": "507-794-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELZEL",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-26",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "55423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpelzel@direct.semedicalcenter.org",
            "affiliation": "N",
            "endpointDescription": "Direct Message Mailbox",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "400 4th Ave NW",
            "city": "Sleepy Eye",
            "state": "MN",
            "country_code": "US",
            "postal_code": "560851109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sleepy Eye, MN

Sources for this page

Verify at the official NPI Registry.