Janet Lee Maxson, APNP, PHD

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R-16251 Issued in ND

Practice address

315 Main St S
Suite 205
Minot, ND 58701-3956

Phone

(701) 857-5854

Fax

(701) 857-5075

NPI assigned

Nov 10, 2006

Sex

Female

Sole proprietor

No

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.

• Legacy Health Clinic

  • Clinic/Center
  • Minot, ND
  • NPI 1598340358

  ND

  Medicare reassignment NPD
• Kurt G. Datz, DO, PC

  • Internal Medicine Physician
  • Bismarck, ND
  • NPI 1912196007
  NPD (past)
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)
• Legacy Health Clinic, LLC

  • Adult Health Nurse Practitioner
  • Ketchikan, AK
  • NPI 1942670005

  Family

  NPD (past)

Medicare fee-for-service enrollment

Enrolled in ND

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner, Doctor of Philosophy

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 28, 2021.

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1851462014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LEGACY HEALTH CLINIC",
            "address_2": "1324 20TH AVE SW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587014040",
            "telephone_number": "701-838-6000",
            "fax_number": "701-838-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 MAIN ST S",
            "address_2": "SUITE 205",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587013956",
            "telephone_number": "701-857-5854",
            "fax_number": "701-857-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXSON",
        "first_name": "JANET",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "APNP, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ND",
            "license": "PAC0057",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R16251",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ND",
            "license": "R-16251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ND BLUE SHIELD",
            "identifier": "23509",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anisa Mathson, OTR/L
• Michelle Mathura, RDN, LRD, CDE
• Dawn D Mattern, MD
• Steven R Mattson, MD
• Linnea Maxfield, M.S
• Jerrica Maxson, AUD
• Sara G May, MA
• Allyson Dawn Mayer, SPEECH LANGUAGE MS
• Marcetta Mayes, MOT/R
• Tonya Marie Mayfield, PHARMD

• All providers in Minot, ND
• Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.