Jenny L Stegen, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1438 Issued in IA

Practice address

1830 State Highway 9
Decorah, IA 52101-7301

Phone

(563) 382-3140

NPI assigned

Jun 14, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jstegen5202@direct.gundersenhealth.org

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.

• Gundersen Clinic LTD

  • Clinic/Center
  • La Crosse, WI
  • NPI 1851343115

  IA

  Medicare reassignment NPD (past)
• Veterans Memorial Hospital City of Waukon Ia

  • Emergency Medicine Physician
  • Waukon, IA
  • NPI 1235260126
  Medicare reassignment
• Gundersen Clinic, LTD.

  • Clinic/Center
  • Decorah, IA
  • NPI 1982657458
  NPD
• Veterans Memorial Hospital City of Waukon Ia

  • Rural Health Clinic/Center
  • Waukon, IA
  • NPI 1093306425
  NPD
• Veterans Memorial Hospital City of Waukon Ia

  • Rural Health Clinic/Center
  • Postville, IA
  • NPI 1417696527
  NPD
• Gundersen Lutheran Express Care, Inc

  • Clinic/Center
  • La Crosse, WI
  • NPI 1043446974
  NPD
• Floyd County Memorial Hospital Commission

  • Critical Access Hospital
  • Charles City, IA
  • NPI 1265402390
  NPD (past)

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374537600000",
    "number": "1932104395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 STATE HIGHWAY 9",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521017301",
            "telephone_number": "563-382-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEGEN",
        "first_name": "JENNY",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2013-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "1740",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "1438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41991300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marilyn K Southard, LISW
• Spectrum Industries
• Joe David Starke, M.D.
• Jessica Sara Starner, ATC, CSCS
• Erika Steele, LMSW
• Bethany J Stevens, ARNP
• Ryan S Stever, M.D.
• Ian J Stock, DO
• Samantha Lee Storts, DO
• Craig P Sullivan, DPM

• Medical Physician Assistant in Decorah, IA
• Providers in Decorah, IA by specialty
• Medical Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.

Verify at the official NPI Registry.