Organization Active NPI

Mind Works

  • Psychiatry Physician
  • North Branch, MN
National Provider Identifier
1497459853
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MIND WORKS
Practice address
38868 12TH Ave
North Branch, MN 55056-6658
Phone
(320) 318-0098
Fax
(612) 844-2784
NPI assigned
Mar 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Authorized official

Name
Jessica J Denning, APRN, CNP, PMHNP-BCNPI 1295303923
Title
Psychiatric Nurse Practitioner
Phone
(320) 318-0098

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

38868 12TH Ave
North Branch, MN 55056-6658

Mailing address

38868 12TH Ave
North Branch, MN 55056-6658
Phone (320) 318-0098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241031000037 MN Part B Supplier - Clinic/Group Practice 3072046978 Receives reassigned benefits from 1 practitioner
Practice locations: North Branch, MN

National Provider Directory

National Provider Directory

Locations

38868 12th Ave
#24
North Branch, MN 55056
Phone (320) 318-0098

38868 12th Ave
North Branch, MN 55056
Phone (320) 309-8913

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1497459853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38868 12TH AVE",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550566658",
            "telephone_number": "320-318-0098",
            "fax_number": "612-844-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38868 12TH AVE",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550566658",
            "telephone_number": "320-318-0098",
            "fax_number": "612-844-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND WORKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "DENNING",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "320-318-0098",
        "authorized_official_credential": "APRN, CNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Branch, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.