Individual provider Active NPI

Jeannine M Mueller-Harmon, FNP, PMHPNP

  • Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1861413635
Registry record updated Nov 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R0925305 Issued in MN
Practice address
1801 Nicollet Ave
Minneapolis, MN 55403-3791
Phone
(612) 596-9438
Fax
(612) 789-3822
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R0925305 MN Primary

Addresses

Primary practice location

1801 Nicollet Ave
Minneapolis, MN 55403-3791

Mailing address

1801 Nicollet Ave
Minneapolis, MN 55403-3791
Phone (612) 596-9438

Other identifiers 1

IdentifierTypeStateIssuer
654213100MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brainerd Medical Center Inc. CurrentSince Jan 1, 2017 Accepting new patients
Brainerd Medical Center Inc CurrentSince Jan 1, 2017 Accepting new patients
Hennepin County CurrentSince May 2, 2012 Accepting new patients
Brainerd Medical Center Inc Current Accepting new patients
Hennepin County CurrentSince May 2, 2012 Accepting new patients
Regents of the University of Minnesota Past Accepting new patients
Hennepin County Past Accepting new patients
Neighborhood Healthsource PastSince Nov 1, 2009 Accepting new patients

Locations

523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394

2024 S 6th St
Brainerd, MN 56401
Phone (218) 828-2880

13060 Isle Dr
Brainerd, MN 56425
Phone (218) 454-5920

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

2215 E Lake St
Minneapolis, MN 55407
Phone (612) 596-0900

1313 Penn Ave N
Minneapolis, MN 55411
Phone (612) 302-4600

1801 Nicollet Ave
Minneapolis, MN 55403
Phone (612) 596-0900

525 Portland Ave
Fl 4
Minneapolis, MN 55415
Phone (612) 348-9840

525 Portland Ave
Minneapolis, MN 55415
Phone (612) 348-8824

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478995200000",
    "number": "1861413635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 NICOLLET AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033791",
            "telephone_number": "612-596-9438",
            "fax_number": "612-789-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 NICOLLET AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033791",
            "telephone_number": "612-596-9438",
            "fax_number": "612-789-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER-HARMON",
        "first_name": "JEANNINE",
        "middle_name": "M",
        "credential": "FNP, PMHPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2016-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "R0925305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "654213100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.