Jennifer L Ergang, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

6508 Issued in MN

Practice address

3405 Hartford Rd
Woodbury, MN 55125-3734

Phone

(210) 630-0146

NPI assigned

Apr 2, 2019

Last updated

Jun 6, 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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.ergang@grp-mn.direct.office.nextgen.com

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.

• Lakes Area Health Center, PLLC

  dba Ottomeyer Clinics

  • Multi-Specialty Clinic/Center
  • Eagan, MN
  • NPI 1467403030
  Medicare reassignment NPD
• Genovations Regen PLLC

  • Clinic/Center
  • Eagan, MN
  • NPI 1457005548
  Authorized official Same address or phone

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1518429273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 HARTFORD RD",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253734",
            "telephone_number": "210-630-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 HARTFORD RD",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253734",
            "telephone_number": "210-630-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERGANG",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "6508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enlightened Path Counseling
• Corey John Ennis
• Envision Wellbeing
• Mackenze Epema
• Emmanuel Ortiz Erestain, M.D.
• Aaron Michael Erhardt, D.C.
• Alexandra Lenore Erickson
• Ava Marquesa Erickson
• Cameron John Erickson, PHARMD
• Darla A Erickson, DIPL. AC.

• Family Nurse Practitioner in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.