Active NPI
Jane K Willett, DO
- Family Medicine Physician
- Marshall, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34361
- 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, 2011
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 580868500 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network | Family Medicine | Current | Accepting new patients |
| Centracare Health - Benson LLC | Current | Accepting new patients | |
| Carris Health LLC | Current | Accepting new patients | |
| Centracare Health-Paynesville LLC | Current | Accepting new patients | |
| Swift County Benson Hospital | Family Medicine | Current | Accepting new patients |
| Swift County-Benson Hospital | Current | Accepting new patients | |
| Centracare Health-Paynesville LLC | Current | Accepting new patients | |
| Centracare Health System-NR LLC | Current | Accepting new patients | |
| Centracare Health - Benson LLC | Current | Accepting new patients | |
| Stevens Community Medical Center Inc | Family Medicine | Current | Accepting new patients |
| Emergency Physicians Professional Association | Current | Accepting new patients | |
| Avera Marshall | Current | Accepting new patients | |
| Stevens Community Medical Center Inc. | Current | Accepting new patients | |
| Carris Health LLC | Current | Accepting new patients | |
| Avera Marshall | Current | Accepting new patients | |
| Centracare Health System-NR LLC | Current | Accepting new patients | |
| Avera Marshall | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Carris Health LLC | Current | Accepting new patients | |
| Centracare Health-Paynesville LLC | Current | Accepting new patients | |
| Stevens Community Medical Center Inc | Current | Accepting new patients | |
| Sanford Health Network | Family Medicine | Current | Accepting new patients |
| Centracare Health System - Melrose | Current | Accepting new patients | |
| CCM Health | Current | Accepting new patients | |
| Emergency Physicians Professional Association | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Sanford Health Network | Current | 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
- 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.
-
dba Sanford Clear Lake Medical Center
- Critical Access Hospital
- Clear Lake, SD
- NPI 1851305296
-
dba Avera Marshall Regional Medical Center
- Critical Access Hospital
- Marshall, MN
- NPI 1568401016
-
dba CentraCare - Rice Memorial Hospital
- Emergency Medicine Physician
- Willmar, MN
- NPI 1134632680
-
- Critical Access Hospital
- Montevideo, MN
- NPI 1720086028
-
- Critical Access Hospital
- Benson, MN
- NPI 1326757154
-
dba CentraCare Health - Melrose Hospital
- Critical Access Hospital
- Melrose, MN
- NPI 1720045073
-
dba CentraCare Health - Monticello Hospital
- Critical Access Hospital
- Monticello, MN
- NPI 1275872772
-
dba CentraCare - Monticello Specialty Clinic
- Multi-Specialty Clinic/Center
- Monticello, MN
- NPI 1558600874
-
dba CentraCare Health - Paynesville Hospital
- Critical Access Hospital
- Paynesville, MN
- NPI 1205269941
-
dba CentraCare Health - Paynesville Clinic
- Rural Health Clinic/Center
- Paynesville, MN
- NPI 1629402516
-
dba Emergency Physicians, P.A.
- Emergency Medicine Physician
- Bloomington, MN
- NPI 1801871934
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sanford Canby Medical Center
- Critical Access Hospital
- Canby, MN
- NPI 1528152790
Nursing home
-
dba Sanford Canby Medical Center
- Critical Access Hospital
- Canby, MN
- NPI 1780781054
-
dba Sanford USD Medical Center
- Air Ambulance
- Sioux Falls, SD
- NPI 1023299708
Hospital
-
dba Edith Sanford Breast Specialty Clinic
- Family Medicine Physician
- Sioux Falls, SD
- NPI 1093090342
Hospital
-
dba Sanford USD Medical Center
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1821017880
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.