Andrea Lee Jurgensen

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5060-12 Issued in WI

Practice address

129 E Hudson St
Mondovi, WI 54755-1609

Phone

(715) 926-3919

NPI assigned

Dec 9, 2014

Last updated

Dec 9, 2014By 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

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jurgensen Chiropractic of Mondovi, Inc.Group PAC ID 9234454059, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jurgensen Chiropractic of Mondovi, Inc.

  • Chiropractor
  • Mondovi, WI
  • NPI 1780072686
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1801294780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 E HUDSON ST",
            "city": "MONDOVI",
            "state": "WI",
            "postal_code": "547551609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 E HUDSON ST",
            "city": "MONDOVI",
            "state": "WI",
            "postal_code": "547551609",
            "telephone_number": "715-926-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURGENSEN",
        "first_name": "ANDREA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-09",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5060-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamed F Harunani, DDS
• Health Steps, L.L.C. (Rock Falls Chiropractic)
• Gordon John Helgoe, D.C.
• Daniel Joseph Johnson
• Jurgensen Chiropractic of Mondovi, Inc.
• Jacob Jurgensen
• Rachel R Kent
• Jennifer L Kronenberg, MSW, LCSW
• Douglas R Lochner-Wright, PT
• Mayo Clinic Health System-Northwest Wisconsin Region, Inc. (Mayo Clinic Health System - Oakridge in Mondovi)

• Chiropractor in Mondovi, WI
• Providers in Mondovi, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.