Active NPI
Stacey Jo Jumbeck, CNP
- Family Nurse Practitioner
- Worthington, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R176607-1
- Practice address
- 1680 Diagonal Rd
Worthington, MN 56187-1008 - Phone
- (507) 372-3800
- Fax
- (507) 372-3806
- NPI assigned
- Nov 29, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R176607-1 | MN | Primary |
Addresses
Primary practice location
1680 Diagonal Rd
Worthington, MN 56187-1008
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-8395
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sjumbeck6800@direct.sanfordhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- 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, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orange City Municipal Hospital
Practice addresses (Care Compare)
1000 Lincoln Cir SE
Suite 100
Orange City, IA 51041-1864
Phone (712) 737-2000
102 3Rd Ave S
Hospers Med Clinic
Hospers, IA 51238-7755
Phone (712) 752-8800
719 8TH St SE
Orange City Walk in
Orange City, IA 51041-7451
Phone (712) 707-6070
Hospital & facility affiliations
- Orange City Area Health System
- Sanford Sheldon Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.84 of 100
- Quality
- 86.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 36.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R176607-1 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orange City Municipal Hospital | Current | Accepting new patients | |
| Orange City Municipal Hospital | Current | Accepting new patients | |
| Orange City Municipal Hospital | Current | Accepting new patients | |
| Orange City Municipal Hospital | Current | Accepting new patients |
Locations
719 8th St SE
Orange City, IA 51041
Phone (712) 707-6070
1000 Lincoln Cir SE
Ste 100
Orange City, IA 51041
Phone (712) 737-2000
1000 Lincoln Cir SE
Orange City, IA 51041
Phone (712) 737-2000
5616 460th St
Paullina, IA 51046
Phone (712) 448-2000
Organizations & group practices 4
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.
-
- Specialist
- Orange City, IA
- NPI 1265479323
-
- Critical Access Hospital
- Orange City, IA
- NPI 1700856796
-
- Skilled Nursing Facility
- Orange City, IA
- NPI 1013987007
-
- Family Medicine Physician
- Orange City, IA
- NPI 1962477992
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Orange City, IA
- NPI 1700856796
-
- Critical Access Hospital
- Sheldon, IA
- NPI 1841200623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648598400000",
"number": "1417024993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074",
"telephone_number": "605-328-8395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1680 DIAGONAL RD",
"city": "WORTHINGTON",
"state": "MN",
"postal_code": "561871008",
"telephone_number": "507-372-3800",
"fax_number": "507-372-3806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUMBECK",
"first_name": "STACEY",
"middle_name": "JO",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2022-03-30",
"certification_date": "2022-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "R176607-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sjumbeck6800@direct.sanfordhealth.org",
"affiliation": "N",
"address_1": "800 Oak St",
"city": "Sheldon",
"state": "IA",
"country_code": "US",
"postal_code": "512011242",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Worthington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.