Individual provider Active NPI

Jazmin Brue

  • Clinical Social Worker
  • Austin, MN
National Provider Identifier
1528958436
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
109 1St Ave SE Ste 4
Austin, MN 55912-3480
Phone
(507) 446-0431
NPI assigned
Jul 3, 2025
Last updated
Jul 3, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

109 1St Ave SE Ste 4
Austin, MN 55912-3480

Mailing address

2575 Harvest LN
Owatonna, MN 55060-4305
Phone (507) 446-0431

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250814004543 MN Practitioner - Clinical Social Worker 4789183047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

109 1St Ave SE
Suite 4
Austin, MN 55912-3480

2575 Harvest LN
Owatonna, MN 55060-4305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fernbrook Family Center, Inc CurrentSince Aug 5, 2025 Accepting new patients
Fernbrook Family Center Past Accepting new patients

Locations

109 1st Ave SE
Austin, MN 55912
Phone (507) 433-5191

109 1st Ave SE
Ste 4
Austin, MN 55912

2575 Harvest Ln
Owatonna, MN 55060
Phone 5074460431115

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1751500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1528958436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 HARVEST LN",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550604305",
            "telephone_number": "507-446-0431",
            "fax_number": "507-446-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 1ST AVE SE STE 4",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559123480",
            "telephone_number": "507-446-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUE",
        "first_name": "JAZMIN",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, MN

Sources for this page

Verify at the official NPI Registry.