Active NPI
Jennifer M Hanson, RN, NP
- Adult Health Nurse Practitioner
- Sisseton, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- R189007-3
- Practice address
- 205 Orchard Dr
Sisseton, SD 57262-2312 - Phone
- (605) 698-4665
- Fax
- (605) 698-6401
- NPI assigned
- Jun 24, 2009
- Last updated
- May 7, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | R189007-3 | MN | Primary |
| Registered Nurse | 163W00000X | R189007-3 | MN |
Addresses
Primary practice location
205 Orchard Dr
Sisseton, SD 57262-2312
Mailing address
PO Box 8674
1230 E. Main Street Mankato Clinic, LTD
Mankato, MN 56002-8674
Phone (507) 625-1811
Other practice location 1
1230 E. Main Street
Mankato Clinic at Main Street
Mankato, MN 56002-8674
Phone (507) 625-1811
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jenniferhanson@mklt.allscriptsdirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
116 W Main St
Rosholt, SD 57260-2258
Phone (605) 537-4244
205 Orchard Dr
Sisseton, SD 57262-2312
Phone (605) 698-7647
205 Orchard Dr
Sisseton, SD 57262-2398
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R189007-3 | MN | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coteau Des Prairies Hospital | Current | Accepting new patients | |
| Coteau Des Prairies Hospital | Current | Accepting new patients | |
| Coteau Des Prairies Hospital | Current | Accepting new patients |
Organizations & group practices 3
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.
-
dba Coteau des Prairies Health Care System
- Critical Access Hospital
- Sisseton, SD
- NPI 1417051517
-
dba Coteau des Prairies Health Care System - Rosholt Clinic
- Clinic/Center
- Rosholt, SD
- NPI 1588978589
-
dba CDP Health Care System-Browns Valley Clinic
- Clinic/Center
- Browns Valley, MN
- NPI 1255477162
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Coteau des Prairies Health Care System
- Critical Access Hospital
- Sisseton, SD
- NPI 1417051517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746576000000",
"number": "1922236223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8674",
"address_2": "1230 E. MAIN STREET MANKATO CLINIC, LTD",
"city": "MANKATO",
"state": "MN",
"postal_code": "560028674",
"telephone_number": "507-625-1811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 ORCHARD DR",
"city": "SISSETON",
"state": "SD",
"postal_code": "572622312",
"telephone_number": "605-698-4665",
"fax_number": "605-698-6401"
}
],
"practiceLocations": [
{
"address_1": "1230 E. Main Street",
"address_2": "Mankato Clinic at Main Street",
"address_purpose": "LOCATION",
"city": "Mankato",
"state": "MN",
"postal_code": "560028674",
"country_code": "US",
"telephone_number": "507-625-1811",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANSON",
"first_name": "JENNIFER",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "RN, NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-24",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MN",
"license": "R189007-3",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "R189007-3",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jenniferhanson@mklt.allscriptsdirect.net",
"affiliation": "N",
"endpointDescription": "Mankato Clinic Direct ID, Allscripts Community",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1230 E. Main Street",
"address_2": "Mankato Clinic at Main Street",
"city": "Mankato",
"state": "MN",
"country_code": "US",
"postal_code": "560028674",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sisseton, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.