Individual provider Active NPI

Jason Lenzo, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Paul, MN
National Provider Identifier
1962649517
Registry record updated Jan 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2008009912 Issued in MN
Practice address
1919 University Ave W
Suite 200
Saint Paul, MN 55104-3453
Phone
(651) 266-7999
NPI assigned
Jan 18, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2008009912 MN Primary

Addresses

Primary practice location

1919 University Ave W
Suite 200
Saint Paul, MN 55104-3453

Mailing address

1919 University Ave W
Suite 200
Saint Paul, MN 55104-3453

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090422000633 MN Practitioner - Nurse Practitioner 6406904895 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2008009912MNMDPsychiatric/Mental Health Nurse Practitioner
399MNMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Ramsey County Mental Health Center CurrentSince Jul 15, 2008 Accepting new patients
Ramsey County Mental Health Center Current Accepting new patients
Ramsey County Adult Mental Health CurrentSince Jul 15, 2008 Accepting new patients

Locations

1919 University Ave W
Ste 20
Saint Paul, MN 55104

1919 University Ave W
Ste 200
Saint Paul, MN 55104
Phone (651) 266-7999

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1232236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232236800000",
    "number": "1962649517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 UNIVERSITY AVE W",
            "address_2": "SUITE 200",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 UNIVERSITY AVE W",
            "address_2": "SUITE 200",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043453",
            "telephone_number": "651-266-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENZO",
        "first_name": "JASON",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-18",
        "last_updated": "2009-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "2008009912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.