Individual provider Active NPI

Jenna Lee Clappier, M.D.

  • Family Medicine Physician
  • Duluth, MN
National Provider Identifier
1962769562
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
56507 Issued in MN
Practice address
26 E Superior St
Ste. 205
Duluth, MN 55802-2124
Phone
(218) 249-4300
Fax
(218) 249-4350
NPI assigned
Apr 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 56507 MN Primary

Addresses

Primary practice location

26 E Superior St
Ste. 205
Duluth, MN 55802-2124

Mailing address

26 E Superior St
Ste. 205
Duluth, MN 55802-2124
Phone (218) 249-4300

Other names 1

  • Jenna Lee Josephson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address him@slk.direct.slhduluth.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130720000272 MN Practitioner - Family Practice 8628219458 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
56507MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Hospital of Duluth Current Accepting new patients
St. Luke'S Hospital of Duluth Family Medicine CurrentSince Jan 23, 2024 Accepting new patients
Regents of the University of Minnesota Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860

915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352

26 E Superior St
Ste 205
Duluth, MN 55802
Phone (218) 249-4300

325 11th Ave
Two Harbors, MN 55616
Phone (218) 834-5520

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": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1962769562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 E SUPERIOR ST",
            "address_2": "STE. 205",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022124",
            "telephone_number": "218-249-4300",
            "fax_number": "218-249-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 E SUPERIOR ST",
            "address_2": "STE. 205",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022124",
            "telephone_number": "218-249-4300",
            "fax_number": "218-249-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAPPIER",
        "first_name": "JENNA",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-19",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "56507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@slk.direct.slhduluth.com",
            "affiliation": "N",
            "address_1": "26 E Superior St",
            "address_2": "Ste. 205",
            "city": "Duluth",
            "state": "MN",
            "country_code": "US",
            "postal_code": "558022124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "JOSEPHSON",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.