SEAN DEANE LEJONVARN (CNP) – Family Nurse Practitioner, NPI 1003426230
Family Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
5,720 NURSE PRACTITIONER in MN
Provider Addresses for SEAN DEANE LEJONVARN (CNP)
212 W LAKE ST
WACONIA, MN 553871014
Phone: (651) 603-4565
Fax: (833) 630-0621
Type: Mailing
3727 RHODE ISLAND AVE S
ST LOUIS PARK, MN 554264344
Phone: (763) 232-1209
Type: Mailing
1200 CHASKA CREEK WAY STE 200
CHASKA, MN 553182749
Phone: (763) 232-1209
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $1,848.
Total Amount is formed as General ($1,848) + Research ($0) + Ownership ($0) = $1,848.
Last reported payment date: 2024-10-19 • Largest payer in this snapshot: MIMEDX Group, Inc. ($1,848).
Total Amount
$1,848
General + Research + Ownership
Payments
6
Total payment records
General Amount
$1,848
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MIMEDX Group, Inc. | $1,848 |
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: 2020-10-05
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 |
|---|---|---|---|---|
| I20201005000451 | I | Nurse Practitioner | 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 |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 118 | 40 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 94 | 60 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 37 | 27 | $0 |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 29 | 28 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 27 | 21 | $0 |
Insurance plans in this area (ZIP 55387)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MN | |
| Emergency Medicine | MN | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN | |
| Family Practice | MN | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN |
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