NPIMap

Individual provider Active NPI

Janelle Mary Terhaar, CNP

  • Family Nurse Practitioner
  • Long Prairie, MN
National Provider Identifier
1144758228
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2017965 Issued in MN
Practice address
20 9TH St SE
Long Prairie, MN 56347-1404
Phone
(320) 732-2141
Fax
(320) 732-6913
NPI assigned
Jun 1, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 2017965 MN Primary

Addresses

Primary practice location

20 9TH St SE
Long Prairie, MN 56347-1404

Mailing address

20 9TH St SE
Long Prairie, MN 56347-1404
Phone (320) 732-2141

Other identifiers 1

IdentifierTypeStateIssuer
41-1924645MedicaidMN

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
I20170802000009 MN Practitioner - Nurse Practitioner 4284905787 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

50 Centracare Dr
Long Prairie, MN 56347-2100
Phone (320) 732-2141

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5176MNMDMental Health Counselor
2017965MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centracare Clinic Current Accepting new patients
Centracare Health-Paynesville LLC CurrentSince Jul 21, 2018 Accepting new patients
Centracare Health System - Long Prairie CurrentSince Aug 1, 2017 Accepting new patients
Centracare Health-Paynesville LLC CurrentSince Jul 21, 2018 Accepting new patients
Centracare Clinic CurrentSince Feb 1, 2020 Accepting new patients
Centracare Health System - Long Prairie CurrentSince Aug 1, 2017 Accepting new patients
Centracare Health-Paynesville LLC Current Accepting new patients
Centracare Clinic CurrentSince Feb 1, 2020 Accepting new patients
Cura of Long Prairie LLC Past Accepting new patients

Locations

12800 Rolling Ridge Rd
Becker, MN 55308
Phone (763) 261-7000

20 9th St SE
Long Prairie, MN 56347
Phone (320) 732-2131

50 Centracare Dr
Long Prairie, MN 56347
Phone (320) 732-2131

525 Main St W
Melrose, MN 56352
Phone (320) 256-4228

200 W 1st St
Paynesville, MN 56362
Phone (320) 243-3767

1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342

1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422

425 Elm St N
Sauk Centre, MN 56378
Phone (320) 352-2221

Interoperability endpoints

  • Direct secure messaging: jterhaar370745@direct.centracare.com

Organizations & group practices 12

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1144758228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 9TH ST SE",
            "city": "LONG PRAIRIE",
            "state": "MN",
            "postal_code": "563471404",
            "telephone_number": "320-732-2141",
            "fax_number": "320-732-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 9TH ST SE",
            "city": "LONG PRAIRIE",
            "state": "MN",
            "postal_code": "563471404",
            "telephone_number": "320-732-2141",
            "fax_number": "320-732-6913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERHAAR",
        "first_name": "JANELLE",
        "middle_name": "MARY",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "2017965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41-1924645",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Prairie, MN

Sources for this page

Verify at the official NPI Registry.