Active NPI
Jennifer K Lessman, PA-C
- Medical Physician Assistant
- Detroit Lakes, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 10026
- Practice address
- 1245 Washington Ave S
Detroit Lakes, MN 56501 - Phone
- (218) 846-2000
- Fax
- (218) 846-2114
- NPI assigned
- Jun 5, 2006
- Last updated
- Apr 18, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 10026 | MN | Primary |
Addresses
Primary practice location
1245 Washington Ave S
Detroit Lakes, MN 56501
Mailing address
1245 Washington Ave S
Detroit Lakes, MN 56501
Phone (218) 846-2000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25805 | Other | NDBCBS | |
| 353G9NI | Other | MNBCBS | |
| 615169800 | Medicaid | MN |
Other names 1
- Jenny Nienhueser
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jlessman1841797@direct.sanfordhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Coney St W
Perham, MN 56573-2102
Phone (218) 347-1200
1412 Main St
Hawley, MN 56549
Phone (218) 483-3564
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.73 of 100
- Quality
- 71.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.68
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10026 | MN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Mahube-Otwa Community Action Partnership | Past | Accepting new patients | |
| St. Marys Regional Health Center | Past | Accepting new patients | |
| Sanford Health of Northern Minnesota | Past | Accepting new patients |
Locations
1027 Washington Ave
Detroit Lakes, MN 56501
Phone (218) 844-2300
1245 Washington Ave
Detroit Lakes, MN 56501
Phone (218) 846-2000
414 W Jefferson Ave
Mahnomen, MN 56557
Phone (218) 935-2511
4000 28th Ave S
Moorhead, MN 56560
Phone (701) 234-3200
Organizations & group practices 6
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.
-
dba Sanford 1717 Medical Building
- Family Medicine Physician
- West Fargo, ND
- NPI 1184917924
MN
-
dba Sanford Health Twin Valley Clinic
- Rural Health Clinic/Center
- Twin Valley, MN
- NPI 1689602682
-
dba Sanford POWER Center
- General Acute Care Hospital
- Fargo, ND
- NPI 1528009412
-
dba Mahube-Otwa CAP Family Health
- Non-Surgical Family Planning Clinic/Center
- Detroit Lakes, MN
- NPI 1588939276
-
dba Sanford Bagley Clinic
- Rural Health Clinic/Center
- Bagley, MN
- NPI 1972875490
-
dba Essentia Health St. Mary's- Detroit Lakes
- Rural Acute Care Hospital
- Detroit Lakes, MN
- NPI 1679561088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650240000000",
"number": "1205875598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1245 WASHINGTON AVE S",
"city": "DETROIT LAKES",
"state": "MN",
"postal_code": "56501",
"telephone_number": "218-846-2000",
"fax_number": "218-846-2114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 WASHINGTON AVE S",
"city": "DETROIT LAKES",
"state": "MN",
"postal_code": "56501",
"telephone_number": "218-846-2000",
"fax_number": "218-846-2114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESSMAN",
"first_name": "JENNIFER",
"middle_name": "K",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-05",
"last_updated": "2022-04-18",
"certification_date": "2022-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MN",
"license": "10026",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NDBCBS",
"identifier": "25805",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MNBCBS",
"identifier": "353G9NI",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "615169800",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jlessman1841797@direct.sanfordhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1245 WASHINGTON AVE S",
"city": "DETROIT LAKES",
"state": "MN",
"country_code": "US",
"postal_code": "56501",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JENNY",
"last_name": "NIENHUESER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Detroit Lakes, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.