JENNIFER NELSON (NP) – Primary Care Nurse Practitioner, NPI 1245615194
Primary Care Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
5,720 NURSE PRACTITIONER in MN
Provider Addresses for JENNIFER NELSON (NP)
2550 UNIVERSITY AVE W STE 110N
SAINT PAUL, MN 551142001
Phone: (651) 602-5311
Fax: (651) 222-6786
Type: Mailing
480 OSBORNE RD NE STE 220
FRIDLEY, MN 554322866
Phone: (763) 786-1620
Fax: (763) 780-3099
Type: Location
5200 DOUGLAS DR N
CRYSTAL, MN 554293104
Phone: (763) 400-3628
Fax: (763) 342-4183
Type: Location
2004 FORD PKWY
SAINT PAUL, MN 551161931
Phone: (612) 256-8225
Fax: (612) 457-0216
Type: Mailing
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 $70.
Total Amount is formed as General ($70) + Research ($0) + Ownership ($0) = $70.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Pharmacyclics LLC, an AbbVie Company ($35).
Total Amount
$70
General + Research + Ownership
Payments
3
Total payment records
General Amount
$70
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 |
|---|---|
| Pharmacyclics LLC, an AbbVie Company | $35 |
| Eko Health, Inc. | $20 |
| Ethicon US, LLC | $15 |
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: 2015-08-25
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 |
|---|---|---|---|---|
| I20150825005080 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 174 | 118 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 108 | 55 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 107 | 72 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 100 | 61 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 74 | 43 | $0 |
Insurance plans in this area (ZIP 55114)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MN | |
| Clinical Social Worker | IL | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN | |
| Family Practice | MN | |
| Physician Assistant | WI | |
| Family Practice | MN | |
| Nurse Practitioner | MN |
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