Individual provider Active NPI

Stacey Jo Jumbeck, CNP

  • Family Nurse Practitioner
  • Worthington, MN
National Provider Identifier
1417024993
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R176607-1 Issued in MN
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

Updated by the provider on Mar 30, 2022

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 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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150410001405 IA Practitioner - Nurse Practitioner 9638266455 Reassigns benefits to 2 organizations

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 HospitalGroup PAC ID 4688587231, shared by 7 NPIs, 43 clinicians

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 Hospital, Orange City, IA, CCN 161360
  • Sanford Sheldon Medical Center Hospital, Sheldon, IA, CCN 161381

Merit-based Incentive Payment System (MIPS)

Final score
76.84 of 100Reported as group
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

LicenseStateTypeSpecialty
R176607-1MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orange City Municipal Hospital CurrentSince Aug 19, 2024 Accepting new patients
Orange City Municipal Hospital CurrentSince Aug 19, 2024 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.

Hospital & facility affiliations 4

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

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

Verify at the official NPI Registry.