JENNIFER A NAISER (D.O.) – Cardiovascular Disease Physician, NPI 1114074135

JENNIFER A NAISER (D.O.) is a healthcare provider. based in Bemidji, Minnesota. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. 61788 (MN). The NPI Number for JENNIFER A NAISER (D.O.) is 1114074135

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER A NAISER (D.O.)
NPI
1114074135
Phone
(817) 679-3912
Address
215 PAUL BUNYAN DR NW # 279
Enumeration Date
4 January 2007
Last Update Date
16 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2186793912108
Graduation Year
2000 (26 years ago)
PAC ID
2769581040
Group Practice PAC ID
4789598731
Professional Enrollment ID
I20070627000453
Address ID
MN566710497RE24760DRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

822 CARDIOVASCULAR DISEASE (CARDIOLOGY) in MN

Provider Addresses for JENNIFER A NAISER (D.O.)

  • 215 PAUL BUNYAN DR NW # 279

    BEMIDJI, MN 566012433

    Phone: (817) 679-3912

    Type: Mailing

  • 24760 HOSPITAL ROAD

    RED LAKE, MN 56671

    Phone: (218) 679-3912

    Fax: (817) 579-3969

    Type: Location

  • Paluxy Road, Wright-Henderson-Duncan House, Granbury, Hood County, Texas, 76048, United States

    SUITE 203

    GRANBURY, TX 760485689

    Phone: (817) 579-3970

    Fax: (817) 579-3969

    Type: Mailing

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: 2007-06-27

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
I20070627000453ICardiovascular Disease (Cardiology)TXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56601)

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Provider's Procedures

JENNIFER A NAISER (D.O.) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)TX85610Blood test, clotting time6911

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: 4789598731View full group profile

Reviews

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Frequently asked questions

How do I look up JENNIFER A NAISER (D.O.) by NPI?
Use NPI 1114074135 when you need to reference JENNIFER A NAISER (D.O.) in forms, claims, or directories.
Is JENNIFER A NAISER (D.O.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is JENNIFER A NAISER (D.O.)?
The page reflects Cardiovascular Disease Physician for JENNIFER A NAISER (D.O.). Clinical services aligned with this taxonomy classification.
What location metadata exists for JENNIFER A NAISER (D.O.)?
The page summarizes Bemidji, Minnesota for JENNIFER A NAISER (D.O.); expand the address list for detail.
What if Bemidji, Minnesota seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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