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Jenna Renae Jackson , MS, LAT, ATC

Specialist/Technologist - Athletic Trainer β€’ Marshall, MN

Active NPI 1639698301 Individual Practitioner Female Practitioner
Practice location in NPPES

1501 State St
Marshall, MN 562583306

Call 5075376433 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1501 State St

Marshall, MN 562583306

Telephone 5075376433
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Marshall, MN. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Marshall and Minnesota

8 active clinicians are listed under Specialist/Technologist - Athletic Trainer with a practice address in Marshall, MN (1,030 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-07-20
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Secondary Practice Locations

200 Robert St

Marshall, MN 562581736

Phone: 3199317037

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location July 20, 2022

Registered at 1501 STATE ST, MARSHALL, MN 562583306 (Tel: 5075376433)

πŸ‘€
Provider Name / Credentials Updated July 20, 2022

Recorded as JENNA JACKSON, MS, LAT, ATC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2022

Student in an Organized Health Care Education/Training Program

πŸ“
Updated Practice Location August 11, 2019

Registered at 500 UNIVERSITY AVE W, MINOT, ND 587079437 (Tel: 7018583274)

πŸ‘€
Provider Name / Credentials Updated August 11, 2019

Recorded as JENNA EDWARDS, LAT, ATC

βœ…
NPI Profile Active September 14, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 14, 2017

Registered at 1103 MIDDLE ST, MEDIAPOLIS, IA 526379437 (Tel: (319) 931-7037)

πŸ“
Business Mailing Address (Initial Record) September 14, 2017

Registered at 1103 MIDDLE ST, MEDIAPOLIS, IA 526379437 (Tel: 3199317037)

πŸ‘€
Provider Name / Credentials (Initial Record) September 14, 2017

Recorded as JENNA EDWARDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2017

Specialist/Technologist

🟒
Initial NPI Registration & Enumeration September 14, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1639698301
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2017
Last Update: July 20, 2022
Sole Proprietor: No

Mailing Address

1103 Middle St

Mediapolis, IA 526379437

Phone: 3199317037

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.