Jessica A Stettner, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

209740-6 Issued in MN

Practice address

824 N 11TH St
Montevideo, MN 56265-1629

Phone

(320) 269-8877

Fax

(320) 269-8186

NPI assigned

May 29, 2014

Last updated

Dec 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

University of North Dakota School of Medicine, 2014

Medicare assignment

May accept Medicare assignment

Group practices

CCM HealthGroup PAC ID 4284539453, 69 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centracare Hospice Hospice, Willmar, MN, CCN 241509
• Chippewa County Hospital Hospital, Montevideo, MN, CCN 241325

Merit-based Incentive Payment System (MIPS)

Final score

89.17 of 100Reported as group

Quality

96.66

Promoting interoperability

100

Improvement activities

40

Cost

67.25

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jstettner482430@direct.centracare.com

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.

• CCM Health

  • Critical Access Hospital
  • Montevideo, MN
  • NPI 1720086028
  Medicare reassignment Care Compare group NPD
• CCM Health

  • Rural Health Clinic/Center
  • Milan, MN
  • NPI 1457132466
  NPD
• CCM Health

  • Rural Health Clinic/Center
  • Montevideo, MN
  • NPI 1407636475
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Carris Health LLC

  dba CentraCare Hospice

  • Community Based Hospice Care Agency
  • Willmar, MN
  • NPI 1306359856
  Care Compare affiliation
• CCM Health

  dba Chippewa County Montevideo Hospital Urgent Care

  • Urgent Care Clinic/Center
  • Montevideo, MN
  • NPI 1275057978

  Hospital

  Care Compare affiliation
• CCM Health

  • Critical Access Hospital
  • Montevideo, MN
  • NPI 1720086028
  Care Compare affiliation

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1659783389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 N 11TH ST",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562651629",
            "telephone_number": "320-269-8877",
            "fax_number": "320-269-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 N 11TH ST",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562651629",
            "telephone_number": "320-269-8877",
            "fax_number": "320-269-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STETTNER",
        "first_name": "JESSICA",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MN",
            "license": "209740-6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jstettner482430@direct.centracare.com",
            "affiliation": "N",
            "address_1": "824 N 11th St",
            "city": "Montevideo",
            "state": "MN",
            "country_code": "US",
            "postal_code": "562651629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• St. Cloud Vamc
• Brandi Lee Stallman, ADT
• State of Minnesota - Minnesota Management and Budget (Minnesota Veterans Home - Montevideo)
• State of Minnesota - Minnesota Management and Budget (Minnesota Veterans Homes Dental Clinic)
• Ashley Brooke Stengel
• Wes Ethan Stettner, PHARM.D
• Steven G Beals OD PA (Beals Optometry)
• Yuan Stevenson, M.D.
• Amy Lynn Stewart
• Annika Swenson, MOT,

• Gerontology Nurse Practitioner in Montevideo, MN
• Providers in Montevideo, MN by specialty
• Gerontology Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.