Individual provider Active NPI

Jasmine Bensen, AU.D

  • Audiologist-Hearing Aid Fitter
  • Robbinsdale, MN
National Provider Identifier
1548844202
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
518196 Issued in MN
Practice address
3124 Abbott Ave N Ste 136
Robbinsdale, MN 55422-3773
Phone
(763) 536-5440
NPI assigned
May 10, 2021
Last updated
Dec 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 518196 MN Primary

Addresses

Primary practice location

3124 Abbott Ave N Ste 136
Robbinsdale, MN 55422-3773

Mailing address

PO Box 6
Milan, MN 56262-0006
Phone (320) 905-0714

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210818001813 MN Practitioner - Qualified Audiologist 4981009677 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
518196MNMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Distribution, LLC Audiologist-Hearing Aid Fitter CurrentSince Jan 3, 2025 Accepting new patients

Locations

11400 N Jog Rd
Palm Beach Gardens, FL 33418
Phone 5614788770 ext. 181

4080 W Broadway Ave
Ste 136
Robbinsdale, MN 55422
Phone (763) 536-5440

Organizations & group practices 1

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": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1548844202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6",
            "city": "MILAN",
            "state": "MN",
            "postal_code": "562620006",
            "telephone_number": "320-905-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 ABBOTT AVE N STE 136",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554223773",
            "telephone_number": "763-536-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSEN",
        "first_name": "JASMINE",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-10",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MN",
            "license": "518196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Robbinsdale, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.