Active NPI
Jennifer D Neumann, DNP
- Family Nurse Practitioner
- Saint Ansgar, IA
National Provider Identifier
1598024655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A165757
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A165757 | IA | MD | Family Nurse Practitioner |
| CNP1658 | MN | MD | Family Nurse Practitioner |
| 202113487NP-PP | OR | MD | Family Nurse Practitioner |
| AP61034239 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graceful Secrets Medspa | Current | Accepting new patients | |
| Zumbro Valley Health Center | Current | 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.
-
- Community/Behavioral Health Agency
- Rochester, MN
- NPI 1801961263
-
- Health Service Clinic/Center
- Saint Ansgar, IA
- NPI 1073279303
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.