Active NPI
Jennifer Frances Wiseman, MSW, LICSW
- Social Worker
- Minnetonka, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 12336
- Practice address
- 13100 Wayzata Blvd Ofc Ctr
Minnetonka, MN 55305-1802 - Phone
- (952) 206-2040
- NPI assigned
- Apr 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 12336 | MN | Primary |
Addresses
Primary practice location
13100 Wayzata Blvd Ofc Ctr
Minnetonka, MN 55305-1802
Mailing address
5301 Michaele LN
Minnetonka, MN 55345-4225
Phone (651) 788-3945
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- University of Minnesota Medical School, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
18205 45TH Ave N
Plymouth, MN 55446-4551
Phone (763) 400-7828
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.63 of 100
- Quality
- 75.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12336 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthwise Psychology, PA | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Scott M Yarosh, LLC | Past | Accepting new patients |
Locations
11280 86th Ave N
Maple Grove, MN 55369
Phone (763) 400-7828
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
18205 45th Ave N
Plymouth, MN 55446
Phone (763) 400-7828
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
3305 Central Park Village Dr
Ste 200
Saint Paul, MN 55121
Phone (651) 406-8860
Organizations & group practices 8
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.
-
- Clinical Psychologist
- Maple Grove, MN
- NPI 1184920753
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
- Multi-Specialty Clinic/Center
- Burnsville, MN
- NPI 1083806772
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
-
- Mental Health Counselor
- Saint Paul, MN
- NPI 1144543265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1497877740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5301 MICHAELE LN",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553454225",
"telephone_number": "651-788-3945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13100 WAYZATA BLVD OFC CTR",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553051802",
"telephone_number": "952-206-2040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISEMAN",
"first_name": "JENNIFER",
"middle_name": "FRANCES",
"credential": "MSW, LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-06",
"last_updated": "2022-12-05",
"certification_date": "2022-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "12336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.