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Allison Jansen

Speech-Language Pathologist, in Medina, MN. Individual provider (NPI-1).

NPI number1104735646
StatusActive
Last updated in NPPESSep 2, 2026

Details

NPI
1104735646
Entity type
Individual (NPI-1)
Name
Allison Jansen
Sex
Female
Sole proprietor
No
Enumeration date
Sep 2, 2026
Certification date
Sep 2, 2026
Last updated
Sep 2, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,CFDE-307MNYes

Practice location

2900 Eagle Bluff Cir Ste 110
Medina, MN 55340-5002

Phone 763-772-2091

Mailing address

2900 Eagle Bluff Cir Ste 110
Medina, MN 55340-5002

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