Individual provider Active NPI

Jolene G Beitz, A.R.N.P.

  • Family Nurse Practitioner
  • Saint Paul, MN
National Provider Identifier
1770818379
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5892 Issued in MN
Practice address
247 George St W
Saint Paul, MN 55107-2759
Phone
(206) 979-4773
NPI assigned
Oct 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 60112441 WA
Family Nurse Practitioner 363LF0000X 5892 MN Primary

Addresses

Primary practice location

247 George St W
Saint Paul, MN 55107-2759

Mailing address

PO Box 190
Toppenish, WA 98948-0190
Phone (509) 865-5898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100107000366 WA Practitioner - Nurse Practitioner 6305987702 Reassigns benefits to 1 organization
I20230525002015 MN Practitioner - Nurse Practitioner 6305987702 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Washington School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of RamseyGroup PAC ID 8224941992, 4 clinicians

Practice addresses (Care Compare)

1850 Beam Ave
Maplewood, MN 55109-1162
Phone (651) 266-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5892MNMDFamily Nurse Practitioner
60112441WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ramsey CurrentSince Apr 15, 2023 Accepting new patients
Healthpoint CurrentSince Sep 30, 2013 Accepting new patients
Healthpoint CurrentSince Sep 30, 2013 Accepting new patients

Locations

555 Cedar St
Saint Paul, MN 55101
Phone (651) 266-1200

126 Auburn Ave
Ste 300
Auburn, WA 98002
Phone (253) 735-0166

10414 Beardslee Blvd
Ste 100
Bothell, WA 98011
Phone (425) 486-0658

33431 13th Pl S
Federal Way, WA 98003
Phone (253) 874-7634

403 E Meeker St
Ste 200
Kent, WA 98030
Phone (253) 852-2866

16255 NE 87th St
Ste 150
Redmond, WA 98052
Phone (425) 882-1697

200 S 2nd St
Renton, WA 98057
Phone (425) 226-5536

955 Powell Ave SW
Renton, WA 98057
Phone (253) 735-0166

Interoperability endpoints

  • Direct secure messaging: jolene.beitz.p2@direct.ramseysocialservices.nextgenshare.com
  • Direct secure messaging: jolene.beitz.1@21423.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1770818379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "989480190",
            "telephone_number": "509-865-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 GEORGE ST W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551072759",
            "telephone_number": "206-979-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEITZ",
        "first_name": "JOLENE",
        "middle_name": "G",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-15",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "60112441",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "5892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.