Individual provider Active NPI

Janeil Ann Schoenbauer, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1558024521
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
8673 Issued in MN
Practice address
591 36 1/2 Ave NE
Minneapolis, MN 55418-1222
Phone
(612) 850-8463
NPI assigned
Oct 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 8673 MN Primary

Addresses

Primary practice location

591 36 1/2 Ave NE
Minneapolis, MN 55418-1222

Mailing address

3555 Willow Lake Blvd Ste 290
Vadnais Heights, MN 55110-4465
Phone (952) 431-5330

Other identifiers 1

IdentifierTypeStateIssuer
8673OtherMNAPRN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220302000092 MN Practitioner - Nurse Practitioner 3072907302 Reassigns benefits to 1 organization
I20240322000045 WI Practitioner - Nurse Practitioner 3072907302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Danielle Golden, Crna, PAGroup PAC ID 6305934597, 30 clinicians

Practice addresses (Care Compare)

501 E Nicollet Blvd
Suite 120
Burnsville, MN 55337-6772
Phone (952) 431-5330

707 Rodeo Dr
Suite 114
Hudson, WI 54016-7757
Phone (952) 431-5330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8673MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Danielle Golden, Crna, PA CurrentSince Dec 6, 2021 Accepting new patients

Locations

501 E Nicollet Blvd
Ste 120
Burnsville, MN 55337
Phone (612) 273-2897

14551 Judicial Rd
Burnsville, MN 55306
Phone 9528985020 ext. 129

12000 Elm Creek Blvd N
Ste L70
Maple Grove, MN 55369
Phone (763) 420-4111

3555 Willow Lake Blvd
Ste 290
Vadnais Heights, MN 55110

3640 Talmage Cir
Ste 216
Vadnais Hts, MN 55110
Phone (651) 379-4006

707 Rodeo Cir
Ste 114
Hudson, WI 54016

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1558024521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 WILLOW LAKE BLVD STE 290",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551104465",
            "telephone_number": "952-431-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 36 1/2 AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554181222",
            "telephone_number": "612-850-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOENBAUER",
        "first_name": "JANEIL",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "8673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "8673",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.