Active NPI
Anna Ruth Janke, APRN, CNM
- Psychiatric/Mental Health Nurse Practitioner
- Perham, MN
National Provider Identifier
1972134369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 10004
- Practice address
- 1000 Coney St W
Perham, MN 56573-2102 - Phone
- (218) 347-1200
- NPI assigned
- Feb 4, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | R45972 | ND | |
| Midwife | 176B00000X | 422 | MN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0000 | MN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 10004 | MN | Primary |
Addresses
Primary practice location
1000 Coney St W
Perham, MN 56573-2102
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230323002345 | MN | Practitioner - Nurse Practitioner | 5698149169 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Perham Hospital District
Practice addresses (Care Compare)
1000 Coney St W
Perham, MN 56573-2102
Phone (218) 347-1656
1000 Coney W St
Perham, MN 56573-2102
Hospital & facility affiliations
- Perham Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.39 of 100
- Quality
- 91.62
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 66.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R45972 | ND | MD | Midwife |
| 10004 | MN | MD | Physician Assistant |
| 0000 | MN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perham Hospital District | Current | Accepting new patients | |
| Perham Hospital District | Current | Accepting new patients | |
| Perham Hospital District | Current | Accepting new patients |
Locations
1000 Coney St W
Perham, MN 56573
Phone (218) 347-1200
Organizations & group practices 7
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.
-
- Home Health Agency
- Perham, MN
- NPI 1407843691
-
- Skilled Nursing Facility
- Perham, MN
- NPI 1568476323
-
- Critical Access Hospital
- Perham, MN
- NPI 1790799518
-
- Medicare Defined Swing Bed Hospital Unit
- Perham, MN
- NPI 1881608610
-
- Family Medicine Physician
- Perham, MN
- NPI 1457631814
-
- Durable Medical Equipment & Medical Supplies
- Perham, MN
- NPI 1558630012
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678924800000",
"number": "1972134369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 CONEY ST W",
"city": "PERHAM",
"state": "MN",
"postal_code": "565732102",
"telephone_number": "218-347-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANKE",
"first_name": "ANNA",
"middle_name": "RUTH",
"credential": "APRN, CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-04",
"last_updated": "2023-03-16",
"certification_date": "2023-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "ND",
"license": "R45972",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "MN",
"license": "422",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MN",
"license": "0000",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MN",
"license": "10004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perham, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.