JENNILYN GUNN (CNP, RN) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1174990089

JENNILYN GUNN (CNP, RN) is a healthcare provider. based in Robbinsdale, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP, RN. They hold a License No. 5222 (MN). The NPI Number for JENNILYN GUNN (CNP, RN) is 1174990089

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
JENNILYN GUNN (CNP, RN)
NPI
1174990089
Phone
Not provided
Address
3300 OAKDALE AVE. NO.
Enumeration Date
26 August 2015
Last Update Date
4 September 2025

Doctor Profile

Medical School Name
CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Secondary Phone
6126727422
Graduation Year
2017 (9 years ago)
PAC ID
6002180668
Group Practice PAC ID
3375645179
Professional Enrollment ID
I20170920001434
Address ID
MN554550363MI500XXSEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:10State licenses:2Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for JENNILYN GUNN (CNP, RN)

  • 3300 OAKDALE AVE. NO.

    ROBBINSDALE, MN 55422

    Phone:

    Type: Mailing

  • 3300 OAKDALE AVE N

    ROBBINSDALE, MN 554222926

    Phone: (763) 520-5200

    Type: Location

  • 420 DELAWARE ST. SE

    MMC 207

    MINNEAPOLIS, MN 55455

    Phone:

    Type: Mailing

  • 500 HARVARD ST SE

    MINNEAPOLIS, MN 554550363

    Phone: (612) 273-3000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $123.

Total Amount is formed as General ($123) + Research ($0) + Ownership ($0) = $123.

Last reported payment date: 2024-08-04 • Largest payer in this snapshot: Getinge USA Sales, LLC ($69).

Total Amount

$123

General + Research + Ownership

Payments

3

Total payment records

General Amount

$123

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2017-09-20

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
I20170920001434INurse PractitionerMNTBD

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 55422)

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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: 3375645179View full group profile
NameSpecialtyState
P A T H O L O G YMN
G A S T R O E N T E R O L O G YMN
N E U R O S U R G E R YOH
-MN
Physician AssistantMN
Physician AssistantMN
-MN
-MN
Physical Therapist In Private PracticeOR
Cardiovascular Disease (Cardiology)IL

Reviews

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Frequently asked questions

What is the registry number for JENNILYN GUNN (CNP, RN)?
The registry entry for JENNILYN GUNN (CNP, RN) shows NPI 1174990089.
Should I treat JENNILYN GUNN (CNP, RN) as an active provider?
Patients and plans typically see JENNILYN GUNN (CNP, RN) as active in the national extract.
Which specialty label fits JENNILYN GUNN (CNP, RN)?
NPPES ties JENNILYN GUNN (CNP, RN) to Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to JENNILYN GUNN (CNP, RN)?
JENNILYN GUNN (CNP, RN) shows a connection to Robbinsdale, Minnesota in registry-derived data.
Who maintains JENNILYN GUNN (CNP, RN)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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