1. Home
  2. Directory
  3. Minnesota
  4. Fergus Falls
  5. Specialist
  6. NPI Profile

JILLENE MARIE BANTAU
NPI 1225528664
Specialist in Fergus Falls, MN

Active since May 10, 2018
1806 E FIR AVE STE 200, FERGUS FALLS, MN 56537(218) 998-2992 Get Directions Write a Review

NPPES record last updated: August 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 11, 2020, Aug 2, 2020, May 10, 2018 (3 updates tracked since 2018).

About Jillene Marie Bantau NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JILLENE MARIE BANTAU (NPI 1225528664) is an individual specialist in Fergus Falls, Minnesota and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1225528664
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJILLENE MARIE BANTAU
Location Address1806 E FIR AVE STE 200Fergus Falls, MN 56537-3921
Mailing Address891 Belsly BlvdMoorhead, MN 56560-5055
Phone(218) 998-2992
Sole ProprietorNo
Enumeration DateMay 10, 2018
Last NPPES UpdateAugust 11, 20203 updates tracked since enumeration
NPPES CertifiedAugust 11, 2020
✔ NPI 1225528664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1806 E FIR AVE STE 200, Fergus Falls, MN 56537
Open in Google Maps ↗

Other Names 1

Former Name (1)Jillene Marie Braun

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAILEE WILLAIMS
Specialist
1806 E FIR AVE STE 200
FERGUS FALLS, MN 56537
Otter Tail County (218) 287-4338
MEGAN VAN SLOBIG
Specialist
1806 E FIR AVE STE 200
FERGUS FALLS, MN 56537
Otter Tail County (218) 287-4338
CLAIRE LASON
Specialist
1806 E FIR AVE STE 200
FERGUS FALLS, MN 56537
Otter Tail County (218) 287-4338
SHUNDIIN GREEN
Specialist
1806 E FIR AVE STE 200
FERGUS FALLS, MN 56537
Otter Tail County (218) 287-4338
TANNER NYGAARD
Technician, Other
1806 E FIR AVE STE 200
FERGUS FALLS, MN 56537
Otter Tail County (218) 998-2992
ANNA RASMUSSEN
Specialist
1806 E FIR AVE STE 200
FERGUS FALLS, MN 56537
Otter Tail County (218) 287-4338
MIRANDA BETTERMANN
Specialist
1806 E FIR AVE STE 200
FERGUS FALLS, MN 56537
Otter Tail County (218) 287-4338
SAMANTHA WEST
Specialist
1806 E FIR AVE STE 200
FERGUS FALLS, MN 56537
Otter Tail County (218) 287-4338

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jillene Bantau's NPI number?

The NPI number for Jillene Bantau is 1225528664. It was assigned to this individual provider in the NPPES registry on May 10, 2018. The provider is also known as Jillene Marie Braun.

Where is Jillene Bantau located?

Jillene Bantau practices at 1806 E Fir Ave Ste 200, Fergus Falls, MN 56537. The listed phone number is (218) 998-2992.

What is Jillene Bantau's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jillene Bantau was last updated on August 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.