Jennifer Jeanne Boblett

Primary specialty

AudiologistTaxonomy code 231H00000X

License

10522 Issued in MN

Practice address

1068 Lake St S Ste 108
Forest Lake, MN 55025-2633

Phone

(651) 464-8486

NPI assigned

Dec 15, 2020

Last updated

Dec 14, 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

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ear Nose and Throat Specialty Care of Minnesota PAGroup PAC ID 3274524020, 46 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

77.11 of 100Reported as group

Quality

63.28

Promoting interoperability

91

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

85.6 of 100Reported as group

Quality

72.5

Promoting interoperability

100

Improvement activities

40

Cost

77.07

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ecas@ecenet.com
• Direct secure messaging: jtryon555823@excellian.direct.allina.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.

• Ear Nose & Throat Specialty Care of Minnesota PA

  dba ENT Specialty Care

  • Otolaryngology Physician
  • St Louis Park, MN
  • NPI 1336175744
  Medicare reassignment Care Compare group NPD
• Allina Health System

  dba Allina Health Buffalo Specialty Clinic

  • Obstetrics & Gynecology Physician
  • Buffalo, MN
  • NPI 1295272342
  Medicare reassignment NPD
• Allina Health System

  dba Allina Health Annandale Clinic

  • Family Medicine Physician
  • Annandale, MN
  • NPI 1457657249
  Medicare reassignment NPD
• Audiology Concepts, LLC

  • Audiologist
  • Edina, MN
  • NPI 1710413547
  Medicare reassignment NPD
• Allina Health System

  dba Abbott Northwestern Professional Services

  • Emergency Medicine Physician
  • Minneapolis, MN
  • NPI 1336435775
  NPD
• Allina Health System

  dba Allina Health TeleRheumatology

  • Rheumatology Physician
  • Coon Rapids, MN
  • NPI 1952146516
  NPD
• Audiology Concepts, LLC

  • Audiologist
  • Cambridge, MN
  • NPI 1376278986
  NPD
• Audiology Concepts, LLC

  • Audiologist
  • Forest Lake, MN
  • NPI 1710612320
  NPD
• Audiology Concepts, Inc

  • Hearing Aid Equipment
  • Edina, MN
  • NPI 1386819209
  NPD (past)

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1770179681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50922 RIVER RD",
            "city": "RUSH CITY",
            "state": "MN",
            "postal_code": "550692022",
            "telephone_number": "320-469-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 LAKE ST S STE 108",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550252633",
            "telephone_number": "651-464-8486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 1st Ave E Ste 110",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MN",
            "postal_code": "550081853",
            "country_code": "US",
            "telephone_number": "763-689-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOBLETT",
        "first_name": "JENNIFER",
        "middle_name": "JEANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-15",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MN",
            "license": "10522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10522",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ecas@ecenet.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1068 Lake St S Ste 108",
            "city": "Forest Lake",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550252633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ecas@ecenet.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1001 1st Ave E Ste 110",
            "city": "Cambridge",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550081853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Beyond Diagnosis Counseling, LLC
• Beyond the Brain Therapies Inc. (Counseling & Mediation Solutions)
• Lawrence Warren Biel, M.D.
• Birchwood Arbors
• Jordan Bloom, RN, BSN, APRN, CRNA
• Erikka Borck, MA
• Alissa Boss, ED.S.
• Rebecca Bowers, LMFT
• Bracht Chiropractic, P.a.
• Brant a. Larsen D.C., P.a. (Health Dynamics)

• Audiologist in Forest Lake, MN
• Providers in Forest Lake, MN by specialty
• Audiologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.

Verify at the official NPI Registry.