Erin Rose Jensen

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6606 Issued in MN

Practice address

320 Hill St E
Norwood Young America, MN 55368

Phone

(952) 467-2505

Fax

(952) 467-9104

NPI assigned

Apr 23, 2019

Last updated

Nov 25, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Worthington Chiropractic Clinic PAGroup PAC ID 8820038615, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Worthington Chiropractic Clinic PA

  • Chiropractor
  • Worthington, MN
  • NPI 1689763021
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1427612688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 HILL ST E",
            "city": "NORWOOD YOUNG AMERICA",
            "state": "MN",
            "postal_code": "553684565",
            "telephone_number": "507-360-4369",
            "fax_number": "952-467-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 HILL ST E",
            "city": "NORWOOD YOUNG AMERICA",
            "state": "MN",
            "postal_code": "55368",
            "telephone_number": "952-467-2505",
            "fax_number": "952-467-9104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "133 W 1st St",
            "address_purpose": "LOCATION",
            "city": "Waconia",
            "state": "MN",
            "postal_code": "553871333",
            "country_code": "US",
            "telephone_number": "507-360-4369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "ERIN",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leland Lane Brincefield, D.C.
• Logan Lee Brincefield, D.C.
• City of Norwood Young America (The Harbor at Peace Village)
• Allison Cruse, CCC-SLP
• Marielle Louise Gatenby, ATC
• Samantha Jones, DC
• Emily Koloc
• Amy Marie Hjermstad Lolling, CD(DONA)
• Cara Elizabeth Mach, BCTMB
• Millenium Home Health Care

• Chiropractor in Norwood Young America, MN
• Providers in Norwood Young America, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.