Jennifer Christensen
Individual provider Active NPI Nurse Practitioner · Long Prairie, MN
NPI 1922554096 · NPPES record last updated Oct 19, 2021
Key facts
- NPI
- 1922554096
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- F01200615 (MN)
- Practice address
- 50 Centracare Dr
Long Prairie, MN 56347-2100 - Phone
- (320) 732-2141
- NPI assigned
- Aug 29, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160922002053 | MN | Practitioner - Certified Nurse Midwife (CNM) | 6709173453 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F01200615 | MN | MD | Nurse Practitioner |
| CNM0316 | MN | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mahube-Otwa Community Action Partnership | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | CNM0316 | MN | |
| Nurse Practitioner | 363L00000X | F01200615 | MN | Yes |
Addresses
Primary practice location
50 Centracare Dr
Long Prairie, MN 56347-2100
Mailing address
20 9TH St SE
Long Prairie, MN 56347-1404
Phone (320) 732-2141
Other providers in Long Prairie, MN
- Centracare Clinic - Long Prairie
- Centracare Health System - Long Prairie
- Centracare Health System - Long Prairie
- Centracare Health System - Long Prairie
- Annie E Christensen
- Mark A. Christiansen
- Dion Claseman
- Coborns Inc
- Comfort Chiropractic PLLC
- County of Todd
All providers in Long Prairie, MN · Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.