Individual provider Active NPI

Jessica Rae Weninger

  • Chiropractor
  • Minneapolis, MN
National Provider Identifier
1225448111
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1016 Issued in ND
Practice address
3541 Lyndale Ave S
Minneapolis, MN 55408-4159
Phone
(612) 824-1829
NPI assigned
May 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1016 ND Primary

Addresses

Primary practice location

3541 Lyndale Ave S
Minneapolis, MN 55408-4159

Mailing address

1050 E Interstate Ave #21
Bismarck, ND 58503-5572
Phone (701) 255-6377

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151013000628 ND Practitioner - Chiropractic 6103059498 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Chiropractic IncGroup PAC ID 8022363522, 3 clinicians

Practice addresses (Care Compare)

1640 E Capitol Ave
Suite B
Bismarck, ND 58501-5618
Phone (701) 751-0642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
1016NDMDAddiction Medicine (Family Medicine) Physician
5938MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Chiropractic Inc. Chiropractor CurrentSince Jun 13, 2018 Accepting new patients
Messer Chiropractic PC Chiropractor CurrentSince Sep 29, 2015 Accepting new patients
Lucky Cat Acupuncture and Herbal Medicine PastSince May 1, 2014 Accepting new patients

Locations

1640 E Capitol Ave
Ste B
Bismarck, ND 58501
Phone (701) 751-0642

1050 E Interstate Ave
Ste 21
Bismarck, ND 58503
Phone (701) 255-6377

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1225448111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 E INTERSTATE AVE #21",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585035572",
            "telephone_number": "701-255-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3541 LYNDALE AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554084159",
            "telephone_number": "612-824-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENINGER",
        "first_name": "JESSICA",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-01",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "1016",
            "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 Oct 9, 2015; 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.