Active NPI
Jennifer Sue Marble, CNP
- Family Nurse Practitioner
- Mankato, MN
National Provider Identifier
1942704945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5829
- Practice address
- 1230 E Main St
Mankato, MN 56001 - Phone
- (507) 625-1811
- NPI assigned
- Mar 23, 2018
- Last updated
- Aug 31, 2020
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R1671991 | MN | |
| Family Nurse Practitioner | 363LF0000X | 5829 | MN | Primary |
Addresses
Primary practice location
1230 E Main St
Mankato, MN 56001
Mailing address
1230 E Main St
Mankato, MN 56001-5066
Phone (507) 625-1811
Other practice location 1
129 Lynx Ln
Mankato, MN 56001-8653
Phone (507) 381-1796
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jennifermarble@mklt.allscriptsdirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- 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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1230 Main St E
PO Box 8674
Mankato, MN 56002-8674
Phone (507) 625-1811
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5829 | MN | MD | Registered Dietitian |
| R1671991 | MN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mankato Clinic LTD | Current | Accepting new patients |
Locations
1230 E Main St
Mankato, MN 56001
Phone (507) 389-8502
1809 Adams St
Mankato, MN 56001
Phone (507) 386-7429
1575 Lookout Dr
North Mankato, MN 56003
Phone (507) 625-5027
1901 Old Minnesota Ave
Saint Peter, MN 56082
Phone 5079342325 ext. 25206
Interoperability endpoints
- jennifermarble@mklt.allscriptsdirect.net
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Mankato, MN
- NPI 1629044029
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Buffalo, MN
- NPI 1063420198
-
- Home Health Registered Nurse
- Golden Valley, MN
- NPI 1255440061
Home health agency
-
dba Laurels Peak Care and Rehabilitation Center
- Skilled Nursing Facility
- Mankato, MN
- NPI 1861870685
Nursing home
-
dba Mayo Clinic Health System - Mankato
- General Acute Care Hospital
- Mankato, MN
- NPI 1154302487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598832000000",
"number": "1942704945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 E MAIN ST",
"city": "MANKATO",
"state": "MN",
"postal_code": "560015066",
"telephone_number": "507-625-1811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 E MAIN ST",
"city": "MANKATO",
"state": "MN",
"postal_code": "56001",
"telephone_number": "507-625-1811"
}
],
"practiceLocations": [
{
"address_1": "129 Lynx Ln",
"address_purpose": "LOCATION",
"city": "Mankato",
"state": "MN",
"postal_code": "560018653",
"country_code": "US",
"telephone_number": "507-381-1796",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARBLE",
"first_name": "JENNIFER",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-23",
"last_updated": "2020-08-31",
"certification_date": "2020-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "R1671991",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "5829",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jennifermarble@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 St",
"city": "Mankato",
"state": "MN",
"country_code": "US",
"postal_code": "56001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.