Individual provider Active NPI

Jonathan James Harvey, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Alexandria, MN
National Provider Identifier
1851705057
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
61500 Issued in MN
Practice address
111 17TH Ave E Ste 101
Alexandria, MN 56308-5274
Phone
(320) 762-1144
Fax
(320) 762-1935
NPI assigned
Jun 16, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 61500 MN Primary

Addresses

Primary practice location

111 17TH Ave E Ste 101
Alexandria, MN 56308-5274

Mailing address

111 17TH Ave E Ste 101
Alexandria, MN 56308-5274
Phone (320) 762-1144

Other identifiers 1

IdentifierTypeStateIssuer
1851705057MedicaidMN

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
I20180703001387 MN Practitioner - Sports MedicinePractitioner - Family Practice 0840417051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
University of Minnesota Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alomere HealthGroup PAC ID 9931690047, 123 clinicians

Practice addresses (Care Compare)

111 17TH Ave E
Suite 101
Alexandria, MN 56308-3734
Phone (320) 762-1511

Hospital & facility affiliations

  • Alomere Health Hospital, Alexandria, MN, CCN 240030
  • Glacial Ridge Hospital Hospital, Glenwood, MN, CCN 241376
  • Centracare Health System - Sauk Centre Hospital, Sauk Centre, MN, CCN 241368
  • Prairie Ridge Hospital and Health Services Hospital, Elbow Lake, MN, CCN 241379

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61500MNMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas County Hospital Current Accepting new patients
West Central Pathology and Laboratory Medicine PA Current Accepting new patients
Alomere Health CurrentSince Jan 1, 2026 Accepting new patients
Alomere Health CurrentSince Jan 1, 2026 Accepting new patients
Douglas County Hospital Past Accepting new patients

Locations

111 17th Ave E
Alexandria, MN 56308
Phone (320) 762-1511

111 17th Ave E
Ste 101
Alexandria, MN 56308
Phone (320) 762-1144

Interoperability endpoints

  • Direct secure messaging: jharvey464305@direct.centracare.com

Organizations & group practices 5

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.

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": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1851705057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 17TH AVE E STE 101",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563085274",
            "telephone_number": "320-762-1144",
            "fax_number": "320-762-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 17TH AVE E STE 101",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563085274",
            "telephone_number": "320-762-1144",
            "fax_number": "320-762-1935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "JONATHAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-16",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MN",
            "license": "61500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851705057",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, MN

Sources for this page

Verify at the official NPI Registry.