JACI RAE HANNASCH CNP
NPI 1760140180
Nurse Practitioner in Marshall, MN

Q: What is Jaci Hannasch's NPI number?

The NPI number for Jaci Hannasch is 1760140180. It was assigned to this individual provider in the NPPES registry on December 2, 2021. The provider is also known as Jaci Rae Pronk.

Q: What is Jaci Hannasch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jaci Hannasch was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 December 02, 2021PECOS EnrolledAccepts Medicare Assignment

94/100

CMS Quality Rating

300 S BRUCE ST, MARSHALL, MN 56258(507) 532-9661 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 3, 2022, Dec 2, 2021 (2 updates tracked since 2021).

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About Jaci Rae Hannasch Cnp NPPES

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

JACI RAE HANNASCH CNP (NPI 1760140180) is an individual nurse practitioner in Marshall, Minnesota, licensed in Minnesota (8803) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS, is affiliated with Avera Granite Falls, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1760140180

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJACI RAE HANNASCHCredential: CNP

Location Address300 S BRUCE STMarshall, MN 56258-1934

Mailing Address507 Mercedes DrMarshall, MN 56258-5497 · (605) 360-6046

Phone(507) 532-9661

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateDecember 2, 2021

Last NPPES UpdateJanuary 3, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 3, 2022

✔ NPI 1760140180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MN · 8803

Definition

(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.

300 S BRUCE ST, Marshall, MN 56258

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Other Names 1

Former Name (1)Jaci Rae Pronk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jaci Rae Hannasch Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224420849

PECOS Enrollment IDI20220111002390

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Avera Granite Falls

Critical Access Hospitals · Granite Falls, MN

OwnershipGovernment - Local

CMS Certification Number241343

Location345 Tenth AvenueGranite Falls, MN 56241 · Yellow Medcine County

Emergency services

Avera Marshall Regional Medical Ctr

Critical Access Hospitals · Marshall, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number241359

Location300 South Bruce StreetMarshall, MN 56258 · Lyon County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56258 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

84.79

Promoting Interoperability

98.22

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tape, waterproof, per 18 square inches A4452

DME-Medical/Surgical Supplies · category DA000N

1 supplier14 claims700 services$0.35 avg. paid by Medicare

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6209

DME-Medical/Surgical Supplies · category DA023N

1 supplier16 claims725 services$6.61 avg. paid by Medicare

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212

DME-Medical/Surgical Supplies · category DA023N

2 suppliers14 claims208 services$7.86 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

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