JESSICA FANBERG
NPI 1679947543
Social Worker - Clinical in Coon Rapids, MN

Q: What is Jessica Fanberg's NPI number?

The NPI number for Jessica Fanberg is 1679947543. It was assigned to this individual provider in the NPPES registry on November 16, 2015. The provider is also known as Jessica Gingery.

Q: What is Jessica Fanberg's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Fanberg was last updated on November 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since November 16, 2015PECOS Enrolled

3833 COON RAPIDS BLVD NW STE 120, COON RAPIDS, MN 55433(763) 767-3350(763) 747-0912 Get Directions Write a Review

NPPES record last updated: November 16, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Jessica Fanberg NPPES

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

JESSICA FANBERG (NPI 1679947543) is an individual clinical provider in Coon Rapids, Minnesota, licensed in Minnesota (18522) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679947543

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJESSICA FANBERG

Location Address3833 COON RAPIDS BLVD NW STE 120Coon Rapids, MN 55433-2599

Mailing Address3833 Coon Rapids Blvd Nw Ste 120Coon Rapids, MN 55433-2599 · (763) 767-3350 · Fax (763) 747-0912

Phone(763) 767-3350

Fax(763) 747-0912

Sole ProprietorNo

Enumeration DateNovember 16, 2015

✔ NPI 1679947543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MN · 18522

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

3833 COON RAPIDS BLVD NW STE 120, Coon Rapids, MN 55433

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Other Names 1

Former Name (1)Jessica Gingery

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Fanberg is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55433 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $56.00 – $168.28

Typical copayment $0.00 (range $14.00 – $42.07)

Most-billed visit code NA

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

ABIGAIL FLETCHER

Counselor (Professional)