Active NPI
Jacqueline Monique Lohonen, NP C
- Family Nurse Practitioner
- Blaine, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F0712367
- Practice address
- 1500 109TH Ave NE
Blaine, MN 55449-4670 - Phone
- (651) 631-0330
- NPI assigned
- Jul 24, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F0712367 | MN | Primary |
Addresses
Primary practice location
1500 109TH Ave NE
Blaine, MN 55449-4670
Mailing address
3226 149TH Ave NE
Ham Lake, MN 55304-6433
Phone (651) 270-7975
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1515 County Rd B W
Roseville, MN 55113-6005
Phone (866) 389-2727
2357 108TH LN NE
Blaine, MN 55449-5222
Phone (866) 389-2727
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F0712367 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Diagnostic of Minnesota, P.a. | Family | Current | Accepting new patients |
| Minuteclinic Primary Care Minnesota PLLC | Family | Current | Accepting new patients |
Locations
2357 108th Ln NE
Blaine, MN 55449
Phone (763) 780-0776
900 Nicollet Mall
Minneapolis, MN 55403
Phone (612) 338-0085
1500 109th Ave NE
Minneapolis, MN 55449
Phone (763) 354-1000
1010 W Lake St
Minneapolis, MN 55408
Phone (612) 822-1297
1040 Grand Ave
Saint Paul, MN 55105
Phone (651) 224-2155
1515 County Road B W
Saint Paul, MN 55113
Phone (651) 631-0330
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
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.
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- NPI 1407227945
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- Family Nurse Practitioner
- Eagan, MN
- NPI 1104632801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1710233036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3226 149TH AVE NE",
"city": "HAM LAKE",
"state": "MN",
"postal_code": "553046433",
"telephone_number": "651-270-7975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 109TH AVE NE",
"city": "BLAINE",
"state": "MN",
"postal_code": "554494670",
"telephone_number": "651-631-0330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOHONEN",
"first_name": "JACQUELINE",
"middle_name": "MONIQUE",
"credential": "NP C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-24",
"last_updated": "2022-11-02",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "F0712367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blaine, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.