Individual provider Active NPI

Jennifer L Janke, WHNP CNM

  • Advanced Practice Midwife
  • Alexandria, MN
National Provider Identifier
1174503577
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
490 Issued in MN
Practice address
111 17TH Ave E
Alexandria, MN 56308-3703
Phone
(320) 391-4578
Fax
(320) 763-2592
NPI assigned
Jan 20, 2006
Last updated
Oct 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 490 MN Primary
Advanced Practice Midwife 367A00000X R37096 ND

Addresses

Primary practice location

111 17TH Ave E
Alexandria, MN 56308-3703

Mailing address

1500 Irving St
Alexandria, MN 56308-0046
Phone (320) 391-4578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120328000428 ND Practitioner - Certified Nurse Midwife (CNM) 4688715295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovis Health LLCGroup PAC ID 9931298155, 561 clinicians

Practice addresses (Care Compare)

3000 32ND Ave S
Fargo, ND 58103-6132
Phone (701) 364-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R37096NDMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Innovis Health LLC CurrentSince Feb 1, 2012 Accepting new patients
Innovis Health, LLC Current Accepting new patients
Alexandria Clinic PA Current Accepting new patients
Douglas County Hospital Current Accepting new patients
Innovis Health, LLC. CurrentSince Feb 1, 2012 Accepting new patients

Locations

111 17th Ave E
Alexandria, MN 56308
Phone (320) 762-1511

1500 Irving St
Alexandria, MN 56308
Phone (320) 762-0857

610 30th Ave W
Alexandria, MN 56308
Phone (320) 763-2540

1027 Washington Ave
Detroit Lakes, MN 56501
Phone (218) 844-2300

811 3rd Ave E
Osakis, MN 56360
Phone (320) 763-2540

3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-4222

Organizations & group practices 5

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1174503577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 IRVING ST",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563080046",
            "telephone_number": "320-391-4578",
            "fax_number": "320-763-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 17TH AVE E",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563083703",
            "telephone_number": "320-391-4578",
            "fax_number": "320-763-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANKE",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "WHNP CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MN",
            "license": "490",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "ND",
            "license": "R37096",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, MN

Sources for this page

Verify at the official NPI Registry.