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Deactivated NPI 1285875385 Deactivated / Inactive NPI Male Practitioner

Mitchell P Jenner , NP

Nurse Practitioner • Hayti, SD

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mitchell Jenner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 19, 2009
NPI Deactivation Date March 13, 2017
Total Practice Duration ~8 Years of Practice (2009 – 2017)

Professional Overview & Biography Verified Profile Summary

Mitchell Jenner, NP was a registered Nurse Practitioner practicing in Hayti, SD. Throughout an active medical career spanning 8 years, Mitchell Jenner provided care at the practice location at 102 MAIN ST. until profile deactivation on 2017-03-13.

Practice Location & Contact Primary Location

Practice Address

102 Main St.

Hayti, SD 572410238

Telephone 6057853341
Fax 6057831320

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Hayti, SD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
1 Specialists

Practicing in Hayti, SD (469 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License SD CP-000033

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 13, 2017

Record deactivated on March 13, 2017

NPI Profile Active October 13, 2009

NPI status registered as active in NPPES database

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Updated Practice Location October 13, 2009

Registered at 102 MAIN ST., HAYTI, SD 572410238 (Tel: 6057853341)

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Updated Business Mailing Address October 13, 2009

Registered at PO BOX 238, HAYTI, SD 572410238 (Tel: 6057833030)

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Provider Name / Credentials Updated October 13, 2009

Recorded as MITCHELL JENNER, NP

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2009

Nurse Practitioner (License #CP-000033 in SD)

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Initial NPI Registration & Enumeration March 19, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285875385
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 19, 2009
Last Update: October 13, 2009
Deactivation Date: March 13, 2017

Mailing Address

Po Box 238

Hayti, SD 572410238

Phone: 6057833030

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.