Individual provider Active NPI

Jean Frances Plested, MSN

  • Family Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1285628784
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0773007 Issued in MN
Practice address
900 Nicollet Mall
Minneapolis, MN 55403-2530
Phone
(612) 659-7111
NPI assigned
Sep 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R0773007 MN Primary

Addresses

Primary practice location

900 Nicollet Mall
Minneapolis, MN 55403-2530

Mailing address

16619 Gilbert Lake Rd
Brainerd, MN 56401-6148
Phone (218) 829-8618

Other names 1

  • Jean Frances Mauch Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150507002098 MN Order and Referring Only - Nurse Practitioner 3476594573

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R0773007MNMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188345600000",
    "number": "1285628784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16619 GILBERT LAKE RD",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564016148",
            "telephone_number": "218-829-8618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NICOLLET MALL",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554032530",
            "telephone_number": "612-659-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLESTED",
        "first_name": "JEAN",
        "middle_name": "FRANCES",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2007-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R0773007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN",
            "last_name": "MAUCH",
            "middle_name": "FRANCES",
            "credential": "MSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.