Individual provider Active NPI

Jennifer D Neumann, DNP

  • Family Nurse Practitioner
  • Saint Ansgar, IA
National Provider Identifier
1598024655
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A165757 Issued in IA
Practice address
204 E 4TH St
Saint Ansgar, IA 50472-9606
Phone
(507) 254-8329
Fax
(319) 409-8274
NPI assigned
May 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP1658 MN
Family Nurse Practitioner 363LF0000X AP61034239 WA
Family Nurse Practitioner 363LF0000X 202113487NP-PP OR
Family Nurse Practitioner 363LF0000X A165757 IA Primary

Addresses

Primary practice location

204 E 4TH St
Saint Ansgar, IA 50472-9606

Mailing address

1906 8TH St NW Ste a
Austin, MN 55912-2478
Phone (507) 434-6982

Other practice location 1

1906 8th St NW Ste A
Austin, MN 55912-2478
Phone (507) 434-6982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20121113000395 MN Practitioner - Nurse Practitioner 9739330168 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A165757IAMDFamily Nurse Practitioner
CNP1658MNMDFamily Nurse Practitioner
202113487NP-PPORMDFamily Nurse Practitioner
AP61034239WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Graceful Secrets Medspa CurrentSince Dec 12, 2021 Accepting new patients
Zumbro Valley Health Center CurrentSince Dec 4, 2017 Accepting new patients

Locations

204 E 4th St
Saint Ansgar, IA 50472
Phone (507) 254-8329

343 Woodlake Dr SE
Rochester, MN 55904
Phone (507) 289-2089

Organizations & group practices 2

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": "1336608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1598024655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 8TH ST NW STE A",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559122478",
            "telephone_number": "507-434-6982",
            "fax_number": "507-434-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E 4TH ST",
            "city": "SAINT ANSGAR",
            "state": "IA",
            "postal_code": "504729606",
            "telephone_number": "507-254-8329",
            "fax_number": "319-409-8274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1906 8th St NW Ste A",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "MN",
            "postal_code": "559122478",
            "country_code": "US",
            "telephone_number": "507-434-6982",
            "fax_number": "507-434-6983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEUMANN",
        "first_name": "JENNIFER",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-10",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "CNP1658",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61034239",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202113487NP-PP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A165757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Ansgar, IA

Sources for this page

Verify at the official NPI Registry.