Jessica Arrlette Krog-Breeuwer, M.D.
Individual provider Active NPI Internal Medicine Physician · Duluth, MN
NPI 1992030837 · NPPES record last updated Dec 4, 2020
Key facts
- NPI
- 1992030837
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 51160 (MN)
- Practice address
- 1001 E Superior St
Suite L401
Duluth, MN 55802-2207 - Phone
- (218) 249-7960
- NPI assigned
- Oct 9, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 14
Hospital & facility affiliations 38
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Minnesota Medical School, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St. Luke'S Hospital of Duluth
Polinsky Medical Rehabilitation Center
Practice addresses (Care Compare)
1011 E 1St St
Duluth, MN 55805-2242
Phone (218) 249-7000
1600 Miller Trunk Hwy
BLDG C
Duluth, MN 55811-5640
Phone (218) 786-5360
Hospital & facility affiliations
- Aspirus St. Luke'S at Home - Home Care - Duluth
- Benedictine Home Health Duluth
- Aspirus St. Luke'S at Home-Hospice-Duluth
- St Lukes Hospital
- Community Memorial Hospital
- Aspirus Lake View Hospital
- Range Regional Health Services
- St Marys Hospital Superior
- Benedictine Health Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110329000185 | MN | Practitioner - Internal Medicine | 0941483986 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Luke'S Hospital of Duluth | Current | Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current |
Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current |
Accepting new patients | |
| St. Luke'S Hospital of Duluth | Past | Accepting new patients | |
| St. Luke'S Hospital of Duluth | Past | Accepting new patients | |
| Benedictine Health Center | Past | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
1011 E 1st St
Duluth, MN 55805
Phone (218) 249-6111
1001 E Superior St
Ste L401
Duluth, MN 55802
Phone (218) 249-7960
915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352
1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860
Interoperability endpoints
- him@slk.direct.slhduluth.com
- jkrogbreeuwer237480@direct.aspirus.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 51160 | MN | Yes |
Addresses
Primary practice location
1001 E Superior St
Suite L401
Duluth, MN 55802-2207
Mailing address
1001 E Superior St
Suite L401
Duluth, MN 55802-2207
Phone (218) 249-7960
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@slk.direct.slhduluth.com |
Other providers in Duluth, MN
- Rachel Yvonne Lund Kremer
- Glen Krenelka
- Richard Josef Krikava
- Sophia Lynn Krikava
- Curtis Allen Kristensen
- Jennifer Lynn Krog
- Kimberly Ann Krohn
- Erin C Krois
- Peter Joseph Kroll
- Mirko Krolo
All providers in Duluth, MN · Internal Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.