Individual provider Active NPI

Jessica Moria Hansen-Barnett, DC, FASA

  • Chiropractor
  • Mankato, MN
National Provider Identifier
1205165834
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5305 Issued in MN
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, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
874MNMDPhysical Therapist
PENDINGMNMDFamily 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.

Verify at the official NPI Registry.