Individual provider Active NPI

Jolene Otremba, D.C.

  • Chiropractor
  • New Prague, MN
National Provider Identifier
1508318023
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6273 Issued in MN
Practice address
201 Main St E
New Prague, MN 56071-1832
Phone
(952) 758-5135
Fax
(952) 758-5179
NPI assigned
Nov 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6273 MN Primary

Addresses

Primary practice location

201 Main St E
New Prague, MN 56071-1832

Mailing address

201 Main St E
New Prague, MN 56071-1832
Phone (952) 758-5135

Other practice location 1

110 Division St E
Buffalo, MN 55313-1525
Phone (763) 682-1471

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161209001135 MN Practitioner - Chiropractic 7517247448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reiner Chiropractic Clinic PAGroup PAC ID 4183891609, 2 clinicians

Practice addresses (Care Compare)

201 Main St E
New Prague, MN 56071-1832
Phone (952) 758-5135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reiner Chiropractic Clinic PA Chiropractor CurrentSince Nov 16, 2017 Accepting new patients
Kuzma Chiropractic PA Chiropractor PastSince Nov 2, 2016 Accepting new patients

Locations

201 Main St E
New Prague, MN 56071
Phone (952) 758-5135

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1508318023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MAIN ST E",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "560711832",
            "telephone_number": "952-758-5135",
            "fax_number": "952-758-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MAIN ST E",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "560711832",
            "telephone_number": "952-758-5135",
            "fax_number": "952-758-5179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Division St E",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "MN",
            "postal_code": "553131525",
            "country_code": "US",
            "telephone_number": "763-682-1471",
            "fax_number": "763-682-7030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTREMBA",
        "first_name": "JOLENE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Prague, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.