JENNIFER KATHLEEN MAHLING-STADUM (MD) – Family Medicine Physician, NPI 1790761187
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for JENNIFER KATHLEEN MAHLING-STADUM (MD)
Essentia Health St Joseph's Medical Center, 523, North 3rd Street, Brainerd, Crow Wing County, Minnesota, 56401, United States
BRAINERD, MN 564013054
Phone: (218) 829-2861
Type: Mailing
2024, South 6th Street, Brainerd, Minnesota, 56401, United States
BRAINERD, MN 564014529
Phone: (218) 828-7100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-04-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050425000816 | I | Emergency Medicine | MN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 304 | 184 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 96 | 92 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 58 | 58 | $0 |
Insurance plans in this area (ZIP 56401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | IA | |
| Diagnostic Radiology | MN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| Diagnostic Radiology | ND | |
| Physician Assistant | MN | |
| Nurse Practitioner | MN | |
| Diagnostic Radiology | MN | |
| N E U R O L O G Y | MN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | MN |
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