Individual provider Active NPI

Jill E Gauger

  • Family Nurse Practitioner
  • Maple Grove, MN
National Provider Identifier
1124501598
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6159 Issued in MN
Practice address
7368 Kirkwood CT N
Maple Grove, MN 55369-5270
Phone
(763) 416-2280
NPI assigned
Sep 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6159 MN Primary

Addresses

Primary practice location

7368 Kirkwood CT N
Maple Grove, MN 55369-5270

Mailing address

2165 Fulham St
Roseville, MN 55113-3816
Phone (312) 860-2142

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
6159MNMDAdult Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: jill.gauger@811393367080964.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1124501598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2165 FULHAM ST",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133816",
            "telephone_number": "312-860-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7368 KIRKWOOD CT N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553695270",
            "telephone_number": "763-416-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUGER",
        "first_name": "JILL",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "6159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.