Jennifer G Kingery, RN, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R 174239-6 Issued in MN

Practice address

1604 1St St S
Willmar, MN 56201-4243

Phone

(320) 231-5000

Fax

(320) 214-6884

NPI assigned

Sep 29, 2015

Last updated

Mar 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Centracare ClinicGroup PAC ID 2466363395, 800 clinicians

Centracare Clinic Southwest LLCGroup PAC ID 8426457946, 172 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centracare - Redwood Hospital, Redwood Falls, MN, CCN 241351
• Centracare - Benson Hospital, Benson, MN, CCN 241365
• Centracare- Rice Memorial Hospital Hospital, Willmar, MN, CCN 240088

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jkingery279658@direct.centracare.com

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.

• Centracare Clinic Southwest LLC

  • Multi-Specialty Clinic/Center
  • Willmar, MN
  • NPI 1174106264
  Medicare reassignment Care Compare group NPD
• Centracare Clinic

  dba CentraCare - River Campus Clinic

  • Multi-Specialty Clinic/Center
  • Saint Cloud, MN
  • NPI 1043212665
  Medicare reassignment Care Compare group
• Avera Marshall

  dba Avera Marshall Regional Medical Center

  • Critical Access Hospital
  • Marshall, MN
  • NPI 1568401016
  Medicare reassignment NPD
• Carris Health - Redwood LLC

  dba CentraCare - Redwood

  • Critical Access Hospital
  • Redwood Falls, MN
  • NPI 1194206748
  Medicare reassignment NPD
• Carris Health - Redwood LLC

  • Emergency Medicine Physician
  • Redwood Falls, MN
  • NPI 1265914048
  Medicare reassignment NPD
• Avera Marshall

  dba Avera Medical Group Medical Oncology Marshall

  • Oncology Clinic/Center
  • Marshall, MN
  • NPI 1437551785
  NPD
• Avera Marshall

  dba Avera Medical Group Optometry - Marshall

  • Optometrist
  • Marshall, MN
  • NPI 1487422465
  NPD
• Carris Health - Redwood LLC

  dba CentraCare Home Health

  • Home Health Agency
  • Redwood Falls, MN
  • NPI 1386126167
  NPD
• Centracare Clinic

  dba CentraCare Occupations Health

  • Occupational Medicine Clinic/Center
  • Saint Cloud, MN
  • NPI 1366192759
  NPD
• Centracare Clinic

  dba CentraCare - Urology Clinic

  • Urology Physician
  • Sartell, MN
  • NPI 1700281953
  NPD
• Centracare Clinic Southwest LLC

  • Durable Medical Equipment & Medical Supplies
  • Willmar, MN
  • NPI 1912664889
  NPD
• Redwood Area Hospital

  • Critical Access Hospital
  • Redwood Falls, MN
  • NPI 1487733614
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Carris Health - Redwood LLC

  dba CentraCare - Redwood

  • Critical Access Hospital
  • Redwood Falls, MN
  • NPI 1194206748
  Care Compare affiliation
• Carris Health LLC

  dba CentraCare - Rice Memorial Hospital

  • Infusion Therapy Clinic/Center
  • Willmar, MN
  • NPI 1124657150

  Hospital

  Care Compare affiliation
• Carris Health LLC

  dba CentraCare - Rice Memorial Hospital

  • General Acute Care Hospital
  • Willmar, MN
  • NPI 1407367030
  Care Compare affiliation
• Centracare Health - Benson LLC

  • Critical Access Hospital
  • Benson, MN
  • NPI 1326757154
  Care Compare affiliation

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1982074332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 1ST ST S",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014243",
            "telephone_number": "320-979-1446",
            "fax_number": "320-214-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 1ST ST S",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014243",
            "telephone_number": "320-231-5000",
            "fax_number": "320-214-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGERY",
        "first_name": "JENNIFER",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "RN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-29",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R 174239-6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkingery279658@direct.centracare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jkingery279658@direct.centracare.com",
            "address_1": "1604 1st St S",
            "city": "Willmar",
            "state": "MN",
            "country_code": "US",
            "postal_code": "562014243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Suzanne Marie Keuseman, APRN, CNS-BC, CWOCN
• Steven L Kidd, MD
• Erin Kiecker
• Billie Jo Kimman, LMFT
• Katherine King
• Beth Kinyua-Gathetu, LPCC
• Catherine Emily Kippley, LPCC
• Teresa Kirkpatrick, LICSW
• Ashley Ann Kjos, PSY.D.
• Amber Klaahsen

• Family Nurse Practitioner in Willmar, MN
• Providers in Willmar, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.

Verify at the official NPI Registry.