Individual provider Active NPI

Jenna Niggeler, L.AC

  • Acupuncturist
  • Brainerd, MN
National Provider Identifier
1124420179
Registry record updated Nov 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1746 Issued in MN
Practice address
1001 Kingwood St Ste 119a
Brainerd, MN 56401
Phone
(218) 831-9190
NPI assigned
Sep 22, 2014
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1746MNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Aim-Axness Integrative Medicine, PLLC PastSince Aug 28, 2018 Accepting new patients
Axness Chiropractic PLLC PastSince Mar 21, 2012 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1746 MN Primary

Addresses

NPPES NPI Registry

Primary practice location

1001 Kingwood St Ste 119a
Brainerd, MN 56401

Mailing address

14713 Inglewood Dr
Baxter, MN 56425-8522
Phone (218) 831-9190

Other practice location 1

7350 Clearwater Rd
Baxter, MN 56425-8463
Phone (218) 454-5050

Other practice location 2

1700 Steiger Lake lane
103
victoria, MN 55386
Phone (218) 831-9190

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 11, 2019.

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1124420179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14713 INGLEWOOD DR",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258522",
            "telephone_number": "218-831-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 KINGWOOD ST STE 119A",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "56401",
            "telephone_number": "218-831-9190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7350 Clearwater Rd",
            "address_purpose": "LOCATION",
            "city": "Baxter",
            "state": "MN",
            "postal_code": "564258463",
            "country_code": "US",
            "telephone_number": "218-454-5050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Steiger Lake lane",
            "address_2": "103",
            "address_purpose": "LOCATION",
            "city": "victoria",
            "state": "MN",
            "postal_code": "55386",
            "country_code": "US",
            "telephone_number": "218-831-9190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIGGELER",
        "first_name": "JENNA",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brainerd, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.