JESSICA A NYBAKKEN (FNP) – Nurse Practitioner, NPI 1164657607
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,720 NURSE PRACTITIONER in MN
Provider Addresses for JESSICA A NYBAKKEN (FNP)
49725 COUNTY 83
STAPLES, MN 564795280
Phone: (218) 894-1515
Fax: (218) 894-8767
Type: Mailing
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
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $25.
Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Tempus AI, Inc ($25).
Total Amount
$25
General + Research + Ownership
Payments
1
Total payment records
General Amount
$25
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Tempus AI, Inc | $25 |
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: 2009-10-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20091027000419 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 166 | 123 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 81 | 51 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 51 | 39 | $0 |
Insurance plans in this area (ZIP 56479)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MN | |
| Clinical Social Worker | MN | |
| Family Practice | MN | |
| Nurse Practitioner | MN | |
| - | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Internal Medicine, Pulmonary Disease, Pulmonary Disease, Internal Medicine, Critical Care (Intensivists), Critical Care (Intensivists) | IA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| Emergency Medicine, Family Practice | MN | |
| Diagnostic Radiology | MN |
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