JENNIFER KATHLEEN MAHLING-STADUM MD
NPI 1790761187
Family Medicine in Brainerd, MN

Q: What is Jennifer Mahling-stadum's NPI number?

The NPI number for Jennifer Mahling-stadum is 1790761187. It was assigned to this individual provider in the NPPES registry on December 19, 2005.

Q: What is Jennifer Mahling-stadum's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since December 19, 2005PECOS Enrolled

2024 S 6TH ST, BRAINERD, MN 56401(218) 828-7100 Get Directions Write a Review

NPPES record last updated: January 8, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Jennifer Kathleen Mahling-stadum Md NPPES

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

JENNIFER KATHLEEN MAHLING-STADUM MD (NPI 1790761187) is an individual family medicine provider in Brainerd, Minnesota, licensed in Minnesota (46787) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790761187

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJENNIFER KATHLEEN MAHLING-STADUMCredential: MD

Location Address2024 S 6TH STBrainerd, MN 56401-4529

Mailing Address523 N 3rd StBrainerd, MN 56401-3054 · (218) 829-2861

Phone(218) 828-7100

Sole ProprietorNo

Enumeration DateDecember 19, 2005

Last NPPES UpdateJanuary 8, 2016

✔ NPI 1790761187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MN · 46787

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2024 S 6TH ST, Brainerd, MN 56401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Kathleen Mahling-stadum Md 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.

Medicare Billing Reassignments

Medicare enrollment records show Jennifer Mahling-stadum reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Brainerd Medical Center Inc

Same address

General Practice

2024 S 6TH ST
Brainerd, MN 56401

Reassigned Medicare billing, Minnesota enrollment
127 clinicians in this Medicare group

NPI 1295801777 (218) 828-7100

St. Joseph's Medical Center

Same address

General Practice

2024 S 6TH ST
Brainerd, MN 56401

Reassigned Medicare billing, Minnesota enrollment
Medicare enrollment name: St Josephs Medical Center
340 clinicians in this Medicare group

NPI 1184866956 (218) 828-7100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56401 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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers48 claims112 services$5.77 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers27 claims43 services$0.91 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

1 supplier13 claims32 services$2.15 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier11 claims11 services$5.66 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers19 claims19 services$191.80 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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