Active NPI
Jean C Stansbury, CPNP
- Nurse Practitioner
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R0921299
- Practice address
- 200 University Ave E
Saint Paul, MN 55101-2507 - Phone
- (651) 325-2121
- Fax
- (651) 325-2122
- NPI assigned
- Oct 20, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R0921299 | MN | Primary |
Addresses
Primary practice location
200 University Ave E
Saint Paul, MN 55101-2507
Mailing address
200 University Ave E
Saint Paul, MN 55101-2507
Phone (651) 325-2121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 745225000 | Medicaid | MN |
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
- Nurse Practitioner
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 University Ave E
Saint Paul, MN 55101-2507
Phone (651) 291-2848
435 Phalen Blvd
Saint Paul, MN 55130-5302
Phone (651) 636-9443
Hospital & facility affiliations
- Gillette Childrens Specialty Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gillette Children'S Specialty Healthcare | Current | Accepting new patients | |
| Gillette Children'S Specialty Healthcare | Current | Accepting new patients | |
| Gillette Children'S Specialty Healthcare | Past | Accepting new patients |
Locations
9550 Upland Ln N
Ste 220
Maple Grove, MN 55369
Phone (612) 902-8595
200 University Ave E
Saint Paul, MN 55101
Phone (651) 291-2848
435 Phalen Blvd
Saint Paul, MN 55130
Phone (651) 254-3200
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.
-
- Multi-Specialty Clinic/Center
- St. Paul, MN
- NPI 1225119175
-
- Multi-Specialty Clinic/Center
- Saint Cloud, MN
- NPI 1982090528
-
- Multi-Specialty Clinic/Center
- Minnetonka, MN
- NPI 1598824880
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Customized Equipment (DME)
- Mankato, MN
- NPI 1295145902
Hospital
-
- Children's Hospital
- Saint Paul, MN
- NPI 1447352836
-
- Multi-Specialty Clinic/Center
- Duluth, MN
- NPI 1477612604
Hospital
-
- Multi-Specialty Clinic/Center
- Minnetonka, MN
- NPI 1598824880
Hospital
-
- Multi-Specialty Clinic/Center
- Maple Grove, MN
- NPI 1730363698
Hospital
-
- Multi-Specialty Clinic/Center
- Burnsville, MN
- NPI 1740349042
Hospital
-
- Multi-Specialty Clinic/Center
- Saint Paul, MN
- NPI 1851450894
Hospital
-
- Multi-Specialty Clinic/Center
- Saint Paul, MN
- NPI 1760541700
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435708800000",
"number": "1235211848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 UNIVERSITY AVE E",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551012507",
"telephone_number": "651-325-2121",
"fax_number": "651-325-2122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 UNIVERSITY AVE E",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551012507",
"telephone_number": "651-325-2121",
"fax_number": "651-325-2122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANSBURY",
"first_name": "JEAN",
"middle_name": "C",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2015-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "R0921299",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "745225000",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.