Dane Bruce Jensen, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

74409-20 Issued in WI

Practice address

535 Hospital Rd
New Richmond, WI 54017-1449

Phone

(715) 243-3400

NPI assigned

May 24, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in WI

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 1

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.

• Westfields Hospital, Inc.

  • Critical Access Hospital
  • New Richmond, WI
  • NPI 1881640183

  Single Specialty

  Medicare reassignment NPD
• Group Health, Inc.

  • Multi-Specialty Clinic/Center
  • Minneapolis, MN
  • NPI 1710924683

  Single Specialty, WI

  Medicare reassignment NPD
• Westfields Hospital, Inc

  • Hematology & Oncology Physician
  • Osceola, WI
  • NPI 1477228070

  Single Specialty

  NPD
• Group Health, Inc.

  • General Practice Dentistry
  • Saint Paul, MN
  • NPI 1952042053
  NPD

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

{
    "created_epoch": "1432425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1790164770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 HEIGHTS DR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016130",
            "telephone_number": "715-717-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 HOSPITAL RD",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540171449",
            "telephone_number": "715-243-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "One Veterans Drive",
            "address_2": "ARS 1J-127",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "55417",
            "country_code": "US",
            "telephone_number": "612-467-1921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2119 Heights Dr",
            "address_purpose": "LOCATION",
            "city": "Eau Claire",
            "state": "WI",
            "postal_code": "547016130",
            "country_code": "US",
            "telephone_number": "715-717-5899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "DANE",
        "middle_name": "BRUCE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-24",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "62049",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WI",
            "license": "74409-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dane.jensen@va.gov",
            "affiliation": "Y",
            "endpointDescription": "business email",
            "affiliationName": "Minneapolis VA Medical Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1 Veterans Dr",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554172309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dane.jensen@prevea.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Prevea Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2119 Heights Dr",
            "city": "Eau Claire",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547016130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Infinite Health Collaborative, PA
• Infinite Health Collaborative, PA
• Natalie Jackson, MA, CCC-SLP
• Daniel Robert Janu, DNAP, APRN
• Jeffrey W. Williams, O.D. & Associates, PA
• Nathan John Jensen, DMD
• Michael Jacob Jepsen, DO
• Karis Elizabeth Johns, M.S, MFT
• Ashley Johnson
• Brooke E Johnson, D.O.

• Child & Adolescent Psychiatry Physician in New Richmond, WI
• Providers in New Richmond, WI by specialty
• Child & Adolescent Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.