Individual provider Active NPI

Jennifer Ann Lien Wesenberg, DO

  • Family Medicine Physician
  • Little Falls, MN
National Provider Identifier
1497064059
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
80555 Issued in MN
Practice address
210 1St St SE
Little Falls, MN 56345-3004
Phone
(320) 412-1310
NPI assigned
Sep 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 80555 MN Primary

Addresses

Primary practice location

210 1St St SE
Little Falls, MN 56345-3004

Mailing address

210 1St St SE
Little Falls, MN 56345-3004
Phone (320) 412-1310

Other names 1

  • Jennifer Ann Lien Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131008001467 MN Practitioner - Family Practice 2365676251 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

210 1St St SE
Little Falls, MN 56345-3004
Phone (320) 412-1310

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
80555MNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Family Healthcare Current Accepting new patients
Sanford Health Network CurrentSince Sep 29, 2022 Accepting new patients
Sanford Health Network Family Medicine Current Accepting new patients
Libertas Family Medicine PC Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
Sanford Health Network Family Medicine CurrentSince Sep 29, 2022 Accepting new patients

Locations

7892 Solutions Ctr
Chicago, IL 60677

210 1st St SE
Little Falls, MN 56345
Phone (320) 412-1310

815 2nd St SE
Little Falls, MN 56345
Phone (320) 632-5441

811 2nd St SE
Little Falls, MN 56345
Phone (320) 631-7000

811 2nd St SE
Ste A
Little Falls, MN 56345
Phone (320) 631-7000

1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342

249 5th St E
Tracy, MN 56175
Phone (507) 629-3520

1018 6th Ave
Worthington, MN 56187
Phone (507) 343-6100

Interoperability endpoints

  • Direct secure messaging: jennifer.wesenberg.1@32191.direct.athenahealth.com

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": "1285804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1497064059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 1ST ST SE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563453004",
            "telephone_number": "320-412-1310",
            "fax_number": "833-428-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 1ST ST SE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563453004",
            "telephone_number": "320-412-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESENBERG",
        "first_name": "JENNIFER",
        "middle_name": "ANN LIEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-30",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "80555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "LIEN",
            "middle_name": "ANN",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Little Falls, MN

Sources for this page

Verify at the official NPI Registry.