Organization Active NPI

Janus Lepc, LLC

  • Podiatrist
  • Minneapolis, MN
National Provider Identifier
1205645777
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
JANUS LEPC, LLC
Practice address
5424 Knox Ave S
Minneapolis, MN 55419-1502
Phone
(612) 741-5154
Fax
(612) 928-9182
NPI assigned
Dec 30, 2024
Last updated
Dec 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Authorized official

Name
Nicole Navarrete
Title
Revenue Cycle Management Consultant
Phone
(612) 479-2215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

5424 Knox Ave S
Minneapolis, MN 55419-1502

Mailing address

5424 Knox Ave S
Minneapolis, MN 55419-1502
Phone (612) 741-5154

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250228000416 MN Part B Supplier - Clinic/Group Practice 5698295038 Receives reassigned benefits from 1 practitioner
Practice locations: Edina, MN; North Oaks, MN

National Provider Directory

National Provider Directory

Locations

550 Village Center Dr
Ste 200
Saint Paul, MN 55127
Phone (612) 353-9100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1205645777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5424 KNOX AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554191502",
            "telephone_number": "612-741-5154",
            "fax_number": "612-928-9182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5424 KNOX AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554191502",
            "telephone_number": "612-741-5154",
            "fax_number": "612-928-9182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANUS LEPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "NAVARRETE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGEMENT CONSULTANT",
        "authorized_official_telephone_number": "612-479-2215"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.