JANELL KJOS (FNP, BC) – Nurse Practitioner, NPI 1063414084

JANELL KJOS (FNP, BC) is a healthcare provider. based in Detroit lakes, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP, BC. They hold a License No. R28369 (ND). The NPI Number for JANELL KJOS (FNP, BC) is 1063414084

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
JANELL KJOS (FNP, BC)
NPI
1063414084
Phone
(218) 847-5611
Address
1027 WASHINGTON AVE
Enumeration Date
10 August 2005
Last Update Date
13 September 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7013643100
Graduation Year
2002 (24 years ago)
PAC ID
2365444155
Group Practice PAC ID
9931298155
Professional Enrollment ID
I20070327000399
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

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Provider Addresses for JANELL KJOS (FNP, BC)

  • Essentia Health Saint Mary's - Detroit Lakes, 1027, Washington Avenue, Detroit Lakes, Becker County, Minnesota, 56501, United States

    DETROIT LAKES, MN 565013409

    Phone: (218) 847-5611

    Fax: (218) 847-0881

    Mailing address matches the actual address.

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: 2007-03-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070327000399INurse PractitionerNDTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes184169$0
99212Established patient office or other outpatient visit, 10-19 minutes2929$0
99214Established patient office or other outpatient visit, 30-39 minutes1817$0
99202New patient office or other outpatient visit, 15-29 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 56501)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931298155View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YND
Interventional RadiologyND
General SurgeryMN
Nurse PractitionerND
Physical Therapist In Private PracticeND
Nurse PractitionerND
Hospitalist, Internal MedicineND
Family PracticeND
Nurse PractitionerND
Certified Registered Nurse Anesthetist (Crna)SD

Reviews

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Frequently asked questions

What number should I use to identify JANELL KJOS (FNP, BC) for billing?
Administrative and clinical systems typically use NPI 1063414084 for JANELL KJOS (FNP, BC).
Does the public listing show JANELL KJOS (FNP, BC) as active?
JANELL KJOS (FNP, BC)'s NPI record reflects an active status in NPPES.
What type of care does JANELL KJOS (FNP, BC) provide?
JANELL KJOS (FNP, BC)'s profile centers on Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is JANELL KJOS (FNP, BC) tied to Detroit Lakes, Minnesota?
If you are local to Detroit Lakes, Minnesota, JANELL KJOS (FNP, BC) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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