Active NPI
Jason V. Lenz, RN, CNP
- Family Nurse Practitioner
- Duluth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP2301
- Practice address
- 400 E 3Rd St
Duluth, MN 55805-1951 - Phone
- (218) 786-8318
- NPI assigned
- Dec 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R 158074-9 | MN | |
| Family Nurse Practitioner | 363LF0000X | CNP2301 | MN | Primary |
Addresses
Primary practice location
400 E 3Rd St
Duluth, MN 55805-1951
Mailing address
400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103785400 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP2301 | MN | MD | Family Nurse Practitioner |
| R 158074-9 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Duluth Clinic LTD | Current | Accepting new patients | |
| St. Mary'S Duluth Clinic Health System | Current | Accepting new patients | |
| The Duluth Clinic, LTD | Current | Accepting new patients | |
| St Marys Medical Center | Current | Accepting new patients | |
| Northern Pines Medical Center | Current | Accepting new patients | |
| The Duluth Clinic, LTD | Current | Accepting new patients | |
| St. Mary'S Hospital of Superior | Current | Accepting new patients | |
| Northern Pines Medical Center | Current | Accepting new patients | |
| St. Mary'S Hospital of Superior | Current | Accepting new patients | |
| The Duluth Clinic, LTD. | Current | Accepting new patients | |
| St. Mary'S Medical Center | Current | Accepting new patients |
Locations
5211 Highway 110
Aurora, MN 55705
Phone (218) 229-1010
402 E 2nd St
Duluth, MN 55805
Phone (218) 786-3443
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
4855 W Arrowhead Rd
Hermantown, MN 55811
Phone (218) 786-3540
1814 14th Ave E
Hibbing, MN 55746
Phone (218) 262-3441
750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441
402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858
3500 Tower Ave
#1
Superior, WI 54880
Phone (715) 395-5457
3500 Tower Ave
Ste 1
Superior, WI 54880
Phone (715) 395-5457
3500 Tower Ave
Superior, WI 54880
Phone (715) 392-8281
Organizations & group practices 11
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.
-
- Critical Access Hospital
- Aurora, MN
- NPI 1639278609
-
- General Acute Care Hospital
- Duluth, MN
- NPI 1457393035
-
- Multi-Specialty Clinic/Center
- Cloquet, MN
- NPI 1902563638
-
- Critical Access Hospital
- Superior, WI
- NPI 1083657886
-
- Rural Health Clinic/Center
- Aurora, MN
- NPI 1285183046
-
- Clinic/Center
- Duluth, MN
- NPI 1821835851
-
- Multi-Specialty Clinic/Center
- Hermantown, MN
- NPI 1235176058
-
- Multi-Specialty Clinic/Center
- Duluth, MN
- NPI 1245278209
-
- Community/Retail Pharmacy
- Hinckley, MN
- NPI 1245081066
-
- Clinical Medical Laboratory
- Superior, WI
- NPI 1205866928
-
- Critical Access Hospital Clinic/Center
- Superior, WI
- NPI 1588691588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515628800000",
"number": "1861478190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E 3RD ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558051951",
"telephone_number": "218-786-8364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E 3RD ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558051951",
"telephone_number": "218-786-8318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENZ",
"first_name": "JASON",
"middle_name": "V.",
"name_prefix": "Mr.",
"credential": "RN, CNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-19",
"last_updated": "2018-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "R 158074-9",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "CNP2301",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103785400",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; 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.