NPIMap

Individual provider Active NPI

Jason M Becker, MD

  • Emergency Medicine Physician
  • New Prague, MN
National Provider Identifier
1841238078
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
42811 Issued in MN
Practice address
301 Main St E
Suite 1
New Prague, MN 56071-1803
Phone
(952) 758-1050
Fax
(952) 758-5011
NPI assigned
Jun 2, 2006
Last updated
Oct 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 42811 MN Primary
Family Medicine Physician 207Q00000X 42811 MN

Addresses

Primary practice location

301 Main St E
Suite 1
New Prague, MN 56071-1803

Mailing address

301 Main St E
Suite 1
New Prague, MN 56071-1803
Phone (952) 758-1050

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbecker67890@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060208000157 MN Practitioner - Emergency MedicinePractitioner - Family Practice 1658386974 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Minnesota Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mayo Clinic Health System-Southwest Minnesota RegionGroup PAC ID 4688585771, shared by 6 NPIs, 658 clinicians

Practice addresses (Care Compare)

1025 Marsh St
Mankato, MN 56001-4752
Phone (507) 625-4031

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42811MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Health System-Southwest Minnesota Region Current Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region CurrentSince Oct 25, 2017 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region Current Accepting new patients
Bridge Medical Supply, Inc. Past Accepting new patients
LTC Professionals, PLLC Emergency Medicine PastSince Feb 1, 2011 Accepting new patients
North Memorial Health Care Past Accepting new patients
University of Minnesota Physicians Past Accepting new patients
North Memorial Health Care Past Accepting new patients

Locations

1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623

200 Alton Ave SE
New Prague, MN 56071
Phone (952) 758-3132

301 2nd St NE
New Prague, MN 56071
Phone (952) 758-4431

Organizations & group practices 8

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 5

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1841238078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MAIN ST E",
            "address_2": "SUITE 1",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "560711803",
            "telephone_number": "952-758-1050",
            "fax_number": "952-758-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MAIN ST E",
            "address_2": "SUITE 1",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "560711803",
            "telephone_number": "952-758-1050",
            "fax_number": "952-758-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "JASON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "42811",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "42811",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbecker67890@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "301 Main St E",
            "address_2": "Suite 1",
            "city": "New Prague",
            "state": "MN",
            "country_code": "US",
            "postal_code": "560711803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Prague, MN

Sources for this page

Verify at the official NPI Registry.