Individual provider Active NPI

Jane K Willett, DO

  • Family Medicine Physician
  • Marshall, MN
National Provider Identifier
1548236292
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34361 Issued in MN
Practice address
1420 E College Dr
Marshall, MN 56258-2065
Phone
(507) 532-9631
Fax
(507) 532-1176
NPI assigned
Feb 23, 2006
Last updated
Oct 6, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34361 MN Primary

Addresses

Primary practice location

1420 E College Dr
Marshall, MN 56258-2065

Mailing address

1420 E College Dr
Marshall, MN 56258-2065
Phone (507) 532-9631

Other identifiers 1

IdentifierTypeStateIssuer
580868500MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, SD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100130000350 MN Practitioner - Family PracticePractitioner - Emergency Medicine 4789727769 Reassigns benefits to 17 organizations
I20231228003380 SD Practitioner - Family Practice 4789727769 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Health NetworkGroup PAC ID 6800707100, 357 clinicians

Practice addresses (Care Compare)

112 Saint Olaf Ave S
Canby, MN 56220-1433
Phone (507) 223-7277

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network Family Medicine Current Accepting new patients
Centracare Health - Benson LLC CurrentSince Jan 17, 2023 Accepting new patients
Carris Health LLC CurrentSince Jun 1, 2022 Accepting new patients
Centracare Health-Paynesville LLC CurrentSince Jan 1, 2022 Accepting new patients
Swift County Benson Hospital Family Medicine CurrentSince Nov 1, 2016 Accepting new patients
Swift County-Benson Hospital CurrentSince Nov 1, 2016 Accepting new patients
Centracare Health-Paynesville LLC CurrentSince Jan 1, 2022 Accepting new patients
Centracare Health System-NR LLC CurrentSince Jan 1, 2023 Accepting new patients
Centracare Health - Benson LLC CurrentSince Jan 17, 2023 Accepting new patients
Stevens Community Medical Center Inc Family Medicine CurrentSince May 1, 2023 Accepting new patients
Emergency Physicians Professional Association CurrentSince Mar 15, 2023 Accepting new patients
Avera Marshall CurrentSince Jan 1, 2019 Accepting new patients
Stevens Community Medical Center Inc. Current Accepting new patients
Carris Health LLC CurrentSince Jun 1, 2022 Accepting new patients
Avera Marshall CurrentSince Jan 1, 2019 Accepting new patients
Centracare Health System-NR LLC Current Accepting new patients
Avera Marshall Current Accepting new patients
Sanford Health Network CurrentSince Mar 22, 2019 Accepting new patients
Carris Health LLC Current Accepting new patients
Centracare Health-Paynesville LLC Current Accepting new patients
Stevens Community Medical Center Inc CurrentSince May 1, 2023 Accepting new patients
Sanford Health Network Family Medicine Current Accepting new patients
Centracare Health System - Melrose CurrentSince Jan 1, 2023 Accepting new patients
CCM Health Current Accepting new patients
Emergency Physicians Professional Association CurrentSince Mar 15, 2023 Accepting new patients
Sanford Health Network CurrentSince Dec 1, 2023 Accepting new patients
Sanford Health Network CurrentSince Mar 22, 2019 Accepting new patients
Emergency Physicians Professional Association Current Accepting new patients
Sanford Health Network Current Accepting new patients
Minnesota Pathologists Chartered Current Accepting new patients

Locations

1815 Wisconsin Ave
Benson, MN 56215
Phone (320) 843-3454

1420 E College Dr
Marshall, MN 56258
Phone (507) 532-5771

1521 Carlson St
Marshall, MN 56258
Phone (507) 532-1101

300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631

525 Main St W
Melrose, MN 56352
Phone (320) 256-4228

4300 Marketpointe Dr
Ste 100
Minneapolis, MN 55435
Phone (952) 767-4574

1013 Hart Blvd
Monticello, MN 55362
Phone (763) 271-2303

400 E 1st St
Morris, MN 56267
Phone (320) 589-1313

200 W 1st St
Paynesville, MN 56362
Phone (320) 243-3767

1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657

101 Willmar Ave SW
Willmar, MN 56201
Phone (320) 231-5079

301 Becker Ave SW
Willmar, MN 56201
Phone (320) 231-4120

701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141

20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611

Interoperability endpoints

  • Direct secure messaging: jwillett436994@direct.centracare.com

Organizations & group practices 31

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.

View all 31

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1548236292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 E COLLEGE DR",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562582065",
            "telephone_number": "507-532-9631",
            "fax_number": "507-532-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 E COLLEGE DR",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562582065",
            "telephone_number": "507-532-9631",
            "fax_number": "507-532-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLETT",
        "first_name": "JANE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "34361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "580868500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MN

Sources for this page

Verify at the official NPI Registry.