Ashley Lynn Jansen, DNP, APN, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Sioux Falls, SD
NPI 1124530860 · NPPES record last updated Apr 26, 2019
Key facts
- NPI
- 1124530860
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- CP001307 (SD)
- Practice address
- 4510 N Lewis Ave
Sioux Falls, SD 57104-7111 - Phone
- (605) 322-6368
- NPI assigned
- Nov 3, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Woodrow Wilson Keeble Memorial Health Care Center
Practice addresses (Care Compare)
100 Lake Traverse Dr
Sisseton, SD 57262-7046
Phone (605) 698-7606
Hospital & facility affiliations
- P H S Indian Hosp at Belcourt-Quentin N Burdick
Merit-based Incentive Payment System (MIPS)
- Final score
- 42.91 of 100
- Quality
- 5.54
- Improvement activities
- 40
- Cost
- 66.19
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.52 of 100
- Quality
- 68.64
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 86.31
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180612002609 | TX | Practitioner - Nurse Practitioner | 9931454188 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quentin N Burdick Comprehensive Health Care Facility | Current |
Accepting new patients | |
| Winnebago Tribe of Nebraska | Current |
Accepting new patients | |
| Rosebud Indian Health Service | Current |
Accepting new patients | |
| Rosebud Indian Health Service | Current |
Accepting new patients | |
| Woodrow Wilson Keeble Memorial Health Care Center | Current |
Accepting new patients | |
| Great Plains Tribal Chairmen'S Health Board | Current |
Accepting new patients | |
| Winnebago Tribe of Nebraska | Current |
Accepting new patients | |
| Winona Health Services | Past | Accepting new patients |
Locations
1300 Hospital Loop
Belcourt, ND 58316
225 Bluff St
Winnebago, NE 68071
Phone (402) 745-3950
4100 W 150th St
#3
Cleveland, OH 44135
3200 Canyon Lake Dr
Rapid City, SD 57702
Phone (605) 355-2282
3200 Canyon Lake Dr
Ste 1
Rapid City, SD 57702
Phone (605) 355-2500
100 Lake Traverse Dr
Sisseton, SD 57262
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CP001307 | SD | Yes |
Addresses
Primary practice location
4510 N Lewis Ave
Sioux Falls, SD 57104-7111
Mailing address
4500 N Lewis Ave
Sioux Falls, SD 57104-7111
Phone (605) 322-2980
Other providers in Sioux Falls, SD
- Audra Johnson Janke
- Heidi Jans
- Maddie Jans
- Sheri Lynn Jans
- Tammy Jo Jans
- Brynna Jansen
- Chandler Jansen
- Madisyn Elizabeth Jansen
- Peggy J Jansen
- Tarryn Jansen
All providers in Sioux Falls, SD · Psychiatric/Mental Health Nurse Practitioner in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 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).
- 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.