Jennifer J. Krieg, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

13825 Issued in MN

Practice address

17210 Kenyon Ave
Lakeville, MN 55044-6903

Phone

(651) 968-5201

Fax

(651) 968-5903

NPI assigned

Jun 28, 2006

Last updated

Jul 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Jennifer Hansen Former name

Medicare fee-for-service enrollment

Enrolled in IA, MN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Orthopedics, LTDGroup PAC ID 8921900374, 282 clinicians

Windom Area HospitalGroup PAC ID 7113911272, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Windom Area Health Hospital, Windom, MN, CCN 241332

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jenniferkrieg@sol.allscriptsdirect.net

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.

• Summit Orthopedics, LTD

  • Orthopaedic Surgery Physician
  • Woodbury, MN
  • NPI 1306899463
  Medicare reassignment Care Compare group NPD
• Windom Area Hospital

  dba Windom Area Health

  • Critical Access Hospital
  • Windom, MN
  • NPI 1841288644
  Medicare reassignment Care Compare group NPD
• Buena Vista Regional Medical Center

  • Diagnostic Radiology Physician
  • Storm Lake, IA
  • NPI 1780755728

  Physician Assistant

  Medicare reassignment NPD
• Allina Health System

  dba Allina Health Buffalo Specialty Clinic

  • Obstetrics & Gynecology Physician
  • Buffalo, MN
  • NPI 1295272342
  Medicare reassignment
• Mason City Clinic PC

  • Otolaryngology Physician
  • Mason City, IA
  • NPI 1043254055
  Medicare reassignment
• Mercyone Central Iowa Urgent Care

  • Clinic/Center
  • Des Moines, IA
  • NPI 1790422095
  Medicare reassignment
• North Iowa Mercy Clinics

  dba MercyOne North Iowa Anesthesia Professional Services

  • Anesthesiology Physician
  • Mason City, IA
  • NPI 1780278242
  Medicare reassignment
• Spencer Municipal Hospital

  dba Milford Family Care

  • Clinic/Center
  • Milford, IA
  • NPI 1396732186
  Medicare reassignment
• Allina Health System

  dba Allina Health Senior Health

  • Clinic/Center
  • Minneapolis, MN
  • NPI 1205069325
  NPD
• Allina Health System

  dba Allina Health TeleRheumatology

  • Rheumatology Physician
  • Coon Rapids, MN
  • NPI 1952146516
  NPD
• Summit Orthopedics LTD

  • Orthopaedic Surgery Physician
  • Eden Prairie, MN
  • NPI 1417639626
  NPD
• Summit Orthopedics LTD

  dba Eagan Surgery Center

  • Clinic/Center
  • Woodbury, MN
  • NPI 1558870196
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Windom Area Hospital

  dba Windom Area Health

  • Critical Access Hospital
  • Windom, MN
  • NPI 1841288644
  Care Compare affiliation

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1265469647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 COMMERCE DR STE 200",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17210 KENYON AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550446903",
            "telephone_number": "651-968-5201",
            "fax_number": "651-968-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIEG",
        "first_name": "JENNIFER",
        "middle_name": "J.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "2709",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "13825",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IA",
            "license": "001726",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HANSEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kota Connections, Inc.
• Stephanie Kotelnicki, LAMFT
• Tracy Kotval, MA, L.P.C.C.
• Robert J Koziol, PHARM D
• William Louden Krane
• Heather R Krueger, MD
• Kelly Krueger, APRN, CNP
• Tyler Morgan Kruse, DC
• Eva Kuchelmeister
• Kenchiro Kue, DO

• Physician Assistant in Lakeville, MN
• Providers in Lakeville, MN by specialty
• Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.

Verify at the official NPI Registry.