JACKIE L COLLINS (CNP) – Family Nurse Practitioner, NPI 1023086568
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,720 NURSE PRACTITIONER in MN
Provider Addresses for JACKIE L COLLINS (CNP)
6725 YORK AVE S APT 457
EDINA, MN 554353232
Phone: (952) 221-0950
Type: Mailing
875 E MAIN ST
WACONIA, MN 553871081
Phone: (866) 389-2727
Type: Location
University Avenue West, Saint Paul, Ramsey County, Minnesota, 55114, United States
SAINT PAUL, MN 551142001
Phone: (651) 602-5311
Fax: (651) 222-6786
Type: Mailing
Campus Drive, Plymouth, Hennepin County, Minnesota, 55441, United States
PLYMOUTH, MN 554412677
Phone: (763) 519-7440
Fax: (763) 519-7445
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: 2010-05-12
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 |
|---|---|---|---|---|
| I20100512000344 | 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 |
|---|---|---|---|---|
| 96375 | Injection of additional new drug or substance into vein | 56 | 14 | $0 |
| J3489 | Injection, zoledronic acid, 1 mg | 49 | 11 | $0 |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 40 | 25 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 36 | 30 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 32 | 27 | $0 |
Insurance plans in this area (ZIP 55435)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Obstetrics/Gynecology, Gynecological Oncology | MN | |
| Nurse Practitioner | MN | |
| Physician Assistant | MN | |
| Physician Assistant | TX | |
| Nurse Practitioner | MN | |
| - | MN | |
| Medical Oncology | MN | |
| Colorectal Surgery (Proctology), General Surgery | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN |
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