Jill Herges, NP-C
Individual provider Active NPI Family Nurse Practitioner · Mora, MN
NPI 1376971515 · NPPES record last updated Sep 19, 2022
Key facts
- NPI
- 1376971515
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R161450-5 (MN)
- Practice address
- 301 Highway 65 S
Mora, MN 55051-1899 - Phone
- (320) 679-1212
- NPI assigned
- Oct 25, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Welia Health
Practice addresses (Care Compare)
620 Sandy LN
Hinckley, MN 55037-8381
Phone (320) 384-6189
Hospital & facility affiliations
- Adara Home Health Inc
- Welia Health
- Cambridge Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140210001188 | MN | Practitioner - Nurse Practitioner | 1052540200 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2277 | MN | MD | Athletic Trainer |
| R161450-5 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Express Care | Current |
Accepting new patients | |
| Fairview Clinics | Current |
Accepting new patients | |
| Welia Health | Current |
Accepting new patients | |
| Fairview Health Services | Current |
Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Clinics | Current |
Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Welia Health | Current |
Accepting new patients |
Locations
13819 Hanson Blvd NW
Andover, MN 55304
Phone (763) 572-5700
14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
620 Sandy Ln
Hinckley, MN 55037
Phone (320) 384-6189
18580 Joplin Ave
Lakeville, MN 55044
Phone (952) 892-9500
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
301 Highway 65 S
Mora, MN 55051
Phone (320) 225-3317
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
Interoperability endpoints
- jherges548395@excellian.direct.allina.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R161450-5 | MN | Yes |
Addresses
Primary practice location
301 Highway 65 S
Mora, MN 55051-1899
Mailing address
1877 145TH Ave
Ogilvie, MN 56358-3649
Phone (320) 679-4605
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jherges548395@excellian.direct.allina.com | Direct |
Other providers in Mora, MN
- Matthew James Hamiel
- Shayna Hamiel
- Leah L Haverhals
- Haley Hemmerich
- Erika Kay Herges
- Steven Nelson Holcombe
- Jenny Anne Houglum
- James E Hubbard
- Karissa Ignaszewski
- Carly Jean Ince
All providers in Mora, MN · Family Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.