Jenna M Altobelli
Individual provider Active NPI Family Nurse Practitioner · Virginia, MN
NPI 1568027464 · NPPES record last updated Aug 1, 2019
Key facts
- NPI
- 1568027464
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- CNP6707 (MN)
- Practice address
- 1101 9TH St N
Virginia, MN 55792-2329 - Phone
- (218) 741-0150
- NPI assigned
- May 6, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 38
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Essentia Health Virginia LLC
The Duluth Clinic LTD
Practice addresses (Care Compare)
2501 Keenan Dr
International Falls, MN 56649-2181
Phone (218) 283-9431
400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364
Hospital & facility affiliations
- Essentia Health Virginia
- Essentia Health Deer River
- Essentia Health St Mary'S Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190808004076 | MN | Practitioner - Nurse Practitioner | 3870820178 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Duluth Clinic, LTD | Current | Accepting new patients | |
| Deer River Healthcare Center Inc | Current |
Accepting new patients | |
| Essentia Health Virginia, LLC | Current |
Accepting new patients | |
| Deer River Healthcare Center, Inc | Current |
Accepting new patients | |
| Deer River Healthcare Center, Inc. | Current |
Accepting new patients | |
| The Duluth Clinic, LTD. | Current |
Accepting new patients | |
| Essentia Health Virginia, LLC | Current |
Accepting new patients | |
| The Duluth Clinic LTD | Current | Accepting new patients | |
| The Duluth Clinic LTD | Current |
Accepting new patients | |
| Deer River Healthcare Center, Inc. | Current | Accepting new patients | |
| The Duluth Clinic, LTD | Past | Accepting new patients | |
| Essentia Health Virginia, LLC | Past | Accepting new patients |
Locations
5211 Highway 110
Aurora, MN 55705
Phone (218) 229-1010
115 10th Ave NE
#A
Deer River, MN 56636
Phone (218) 246-8275
115 10th Ave NE
Deer River, MN 56636
Phone (218) 246-2900
4212 Grand Ave
Duluth, MN 55807
Phone (218) 786-3500
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
1542 Golf Course Rd
Ste 204
Grand Rapids, MN 55744
Phone (218) 322-4900
2501 Keenan Dr
Intl Falls, MN 56649
Phone (218) 283-4481
1101 9th St N
Virginia, MN 55792
Phone (218) 305-0000
901 9th St N
Virginia, MN 55792
Phone (218) 741-3340
603 9th St N
Virginia, MN 55792
Phone (218) 741-3013
1702 University Dr S
Fargo, ND 58103
Phone (701) 364-4222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP6707 | MN | Yes |
Addresses
Primary practice location
1101 9TH St N
Virginia, MN 55792-2329
Mailing address
1702 University Dr S
Fargo, ND 58103-4940
Other providers in Virginia, MN
- Cassandra Jo Adams
- Shelley Jean Aho
- Kiara Aiken
- Align North LLC
- Allrides LLLP
- Marcia Kay Aluni
- Kelly Rae Amundson
- Angie Marie Anderson
- Brielle N Anderson
- Crystal Rayne Anderson
All providers in Virginia, MN · Family Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.