Individual provider Active NPI

Jean E Craig, MD

  • Family Medicine Physician
  • New Prague, MN
National Provider Identifier
1841212677
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36780 Issued in IA
Practice address
1400 1St St NE
New Prague, MN 56071-2215
Phone
(952) 758-2535
NPI assigned
Jul 24, 2006
Last updated
Jun 16, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 36780 IA Primary
Family Medicine Physician 207Q00000X 50488 MN

Addresses

Primary practice location

1400 1St St NE
New Prague, MN 56071-2215

Mailing address

1400 1St St NE
New Prague, MN 56071-2215
Phone (952) 758-2535

Other identifiers 1

IdentifierTypeStateIssuer
472340MedicaidIA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080924000518 MN Practitioner - Family Practice 1254333800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
John H Berg MD Carl E Burkland MDGroup PAC ID 8820063027, 4 clinicians

Practice addresses (Care Compare)

1400 1St St NE
New Prague, MN 56071-2215
Phone (952) 758-2535

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
John H Berg MD Carl E Burkland MD Family Medicine CurrentSince Sep 1, 2008 Accepting new patients
Genesis Medical Education Foundation Inc Family Medicine Past Accepting new patients

Locations

1400 1st St NE
New Prague, MN 56071
Phone (952) 548-6161

Interoperability endpoints

  • Direct secure messaging: jeancraig@pmc.allscriptsdirect.net

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1841212677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 1ST ST NE",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "560712215",
            "telephone_number": "952-758-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 1ST ST NE",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "560712215",
            "telephone_number": "952-758-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "JEAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "36780",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "50488",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "472340",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Prague, MN

Sources for this page

Verify at the official NPI Registry.