Active NPI
Jessin Lynn Skoug, D.C.
- Chiropractor
- Wabasha, MN
National Provider Identifier
1669764783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5533
- Practice address
- 131 Main St W
Wabasha, MN 55981-1236 - Phone
- (651) 565-4863
- Fax
- (651) 565-4893
- NPI assigned
- May 8, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5533 | MN | Primary |
| Chiropractor | 111N00000X | 4754-012 | WI |
Addresses
Primary practice location
131 Main St W
Wabasha, MN 55981-1236
Mailing address
131 Main St W
Wabasha, MN 55981-1236
Phone (651) 565-4863
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
131 Main W St
Wabasha, MN 55981-1236
Phone (651) 565-4883
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5533 | MN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ruralbasicshc Inc | Current | Accepting new patients | |
| Eagle Valley Chiropractic LLC | Current | Accepting new patients |
Locations
106 S Washington St
Lake City, MN 55041
Phone (651) 345-2785
131 Main St W
Wabasha, MN 55981
Phone (651) 565-4863
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.
-
- Point of Service
- Wabasha, MN
- NPI 1699054213
-
- Urgent Care Clinic/Center
- Wabasha, MN
- NPI 1982156139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398729600000",
"number": "1669764783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 MAIN ST W",
"city": "WABASHA",
"state": "MN",
"postal_code": "559811236",
"telephone_number": "651-565-4863",
"fax_number": "651-565-4893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 MAIN ST W",
"city": "WABASHA",
"state": "MN",
"postal_code": "559811236",
"telephone_number": "651-565-4863",
"fax_number": "651-565-4893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKOUG",
"first_name": "JESSIN",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-08",
"last_updated": "2014-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "5533",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4754-012",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wabasha, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.