Individual provider Active NPI

Jenny Jenner

  • Family Nurse Practitioner
  • Sioux Falls, SD
National Provider Identifier
1417347196
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP000928 Issued in SD
Practice address
600 N Sycamore Ave
Sioux Falls, SD 57110-5745
Phone
(605) 328-2999
NPI assigned
Feb 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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 CP000928 SD Primary

Addresses

Primary practice location

600 N Sycamore Ave
Sioux Falls, SD 57110-5745

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Other practice location 1

2525 Fox Run Pkwy
Suite 200
Yankton, SD 57078-5370
Phone (605) 260-2100

Other practice location 2

2024 W Pasewalk Ave Ste 1
Norfolk, NE 68701-4628
Phone (402) 844-8301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20150511000252 SD Practitioner - Nurse Practitioner 9133448384 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical CenterGroup PAC ID 8325950215, 847 clinicians

Practice addresses (Care Compare)

1301 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 312-2200

1305 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 312-7300

4405 E 26TH St
Sioux Falls, SD 57103-4187
Phone (605) 332-2883

5920 E Madison St
Sioux Falls, SD 57110-6489
Phone (605) 312-5000

Hospital & facility affiliations

  • Sanford Usd Medical Center Hospital, Sioux Falls, SD, CCN 430027

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
78.77
Promoting interoperability
100
Improvement activities
40
Cost
70.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Clinic Current Accepting new patients
Sanford Clinic CurrentSince Mar 22, 2021 Accepting new patients
Sanford Medical Center CurrentSince Mar 22, 2021 Accepting new patients
Sanford Clinic CurrentSince Mar 22, 2021 Accepting new patients
Sanford Clinic Past Accepting new patients

Locations

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

600 N Sycamore Ave
Sioux Falls, SD 57110
Phone (605) 328-2999

5920 E Madison St
Sioux Falls, SD 57110
Phone (605) 312-5000

Organizations & group practices 5

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 3

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": "1422835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1417347196",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N SYCAMORE AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571105745",
            "telephone_number": "605-328-2999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 Fox Run Pkwy",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Yankton",
            "state": "SD",
            "postal_code": "570785370",
            "country_code": "US",
            "telephone_number": "605-260-2100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2024 W Pasewalk Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "NE",
            "postal_code": "687014628",
            "country_code": "US",
            "telephone_number": "402-844-8301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENNER",
        "first_name": "JENNY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-02",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP000928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.