Jamie Hennigan, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

131580 Issued in OH

Practice address

8TH Medical Group Building #932
Apo, AE 09464

Phone

(309) 226-8086

NPI assigned

Apr 24, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO, ND2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

General Surgery

Education

University of South Alabama College of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lutheran Hospital Association of the San Luis ValleyGroup PAC ID 4789589094, 146 clinicians

St. Joseph'S Hospital and Health CenterGroup PAC ID 0547177560, shared by 3 NPIs, 157 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McKenzie County Healthcare Systems Inc Hospital, Watford City, ND, CCN 351302
• CHI St Alexius Health Dickinson Hospital, Dickinson, ND, CCN 351336
• Northern Montana Hospital Hospital, Havre, MT, CCN 271348
• San Luis Valley Regional Medical Center Hospital, Alamosa, CO, CCN 060008

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lutheran Hospital Association of the San Luis Valley

  • General Acute Care Hospital
  • Alamosa, CO
  • NPI 1235181744
  Medicare reassignment Care Compare group NPD
• St Joseph'S Hospital and Health Center

  • Clinic/Center
  • Dickinson, ND
  • NPI 1730464108
  Medicare reassignment NPD
• St Joseph'S Hospital and Health Center

  • Critical Access Hospital
  • Dickinson, ND
  • NPI 1992947956
  Medicare reassignment NPD
• McKenzie County Healthcare Systems Inc

  • Urgent Care Clinic/Center
  • Williston, ND
  • NPI 1396516506
  Medicare reassignment
• Lutheran Hospital Association of the San Luis Valley

  • Obstetrics & Gynecology Physician
  • Alamosa, CO
  • NPI 1720269434

  Surgery

  NPD
• St Joseph'S Hospital and Health Center

  • Rural Health Clinic/Center
  • Beach, ND
  • NPI 1669491262
  NPD

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

• Lutheran Hospital Association of the San Luis Valley

  • General Acute Care Hospital
  • Alamosa, CO
  • NPI 1235181744
  Care Compare affiliation
• McKenzie County Healthcare Systems Inc

  • Critical Access Hospital
  • Watford City, ND
  • NPI 1518988948
  Care Compare affiliation
• Northern Montana Hospital

  • Critical Access Hospital
  • Havre, MT
  • NPI 1427059070
  Care Compare affiliation
• St Joseph'S Hospital and Health Center

  • Critical Access Hospital
  • Dickinson, ND
  • NPI 1992947956
  Care Compare affiliation

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1699195024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "LANDSTUHL REGIONAL MEDICAL CENTER",
            "address_2": "UNIT 3310",
            "city": "APO",
            "state": "AE",
            "postal_code": "090943100",
            "telephone_number": "314-590-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "MIL",
            "address_1": "8TH MEDICAL GROUP BUILDING #932",
            "city": "APO",
            "state": "AE",
            "postal_code": "09464",
            "telephone_number": "309-226-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNIGAN",
        "first_name": "JAMIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-24",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "131580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.