Active NPI
Jessica Moria Hansen-Barnett, DC, FASA
- Chiropractor
- Mankato, MN
National Provider Identifier
1205165834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5305
- Practice address
- 201 N Broad St
Suite 302
Mankato, MN 56001-3585 - Phone
- (507) 382-4997
- Fax
- (800) 819-8339
- NPI assigned
- Dec 10, 2009
- Last updated
- Jul 1, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | PENDING | MN | |
| Chiropractor | 111N00000X | 5305 | MN | Primary |
| Acupuncturist | 171100000X | 874 | MN |
Addresses
Primary practice location
201 N Broad St
Suite 302
Mankato, MN 56001-3585
Mailing address
201 N Broad St
Suite 302
Mankato, MN 56001-3585
Phone (507) 382-4997
Other names 1
- Jessica Moria Barnett
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100319000159 | MN | Practitioner - Chiropractic | 5597890244 | Practice locations: North Mankato, MN |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
360 Pierce Ave
Suite 204
North Mankato, MN 56003-2211
Phone (507) 382-4997
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 874 | MN | MD | Physical Therapist |
| PENDING | MN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404172800000",
"number": "1205165834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 N BROAD ST",
"address_2": "SUITE 302",
"city": "MANKATO",
"state": "MN",
"postal_code": "560013585",
"telephone_number": "507-382-4997",
"fax_number": "800-819-8339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 N BROAD ST",
"address_2": "SUITE 302",
"city": "MANKATO",
"state": "MN",
"postal_code": "560013585",
"telephone_number": "507-382-4997",
"fax_number": "800-819-8339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN-BARNETT",
"first_name": "JESSICA",
"middle_name": "MORIA",
"name_prefix": "Dr.",
"credential": "DC, FASA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-10",
"last_updated": "2014-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "PENDING",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "5305",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MN",
"license": "874",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "BARNETT",
"middle_name": "MORIA",
"credential": "DC, FASA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.