Active NPI
Jessica Rae Weninger
- Chiropractor
- Minneapolis, MN
National Provider Identifier
1225448111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1016
- 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
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 |
|---|---|---|---|---|
| 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
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
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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1016 | ND | MD | Addiction Medicine (Family Medicine) Physician |
| 5938 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Chiropractic Inc. | Chiropractor | Current | Accepting new patients |
| Messer Chiropractic PC | Chiropractor | Current | Accepting new patients |
| Lucky Cat Acupuncture and Herbal Medicine | Past | 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.
-
- Chiropractor
- Bismarck, ND
- NPI 1700376340
-
- Chiropractor
- Bismarck, ND
- NPI 1093997868
-
- Acupuncturist
- Minneapolis, MN
- NPI 1295038008
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.