JENNY M BLISS (PMHNP) – Nurse Practitioner, NPI 1336682947

JENNY M BLISS (PMHNP) is a healthcare provider. based in Cambridge, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 4890 (MN). The NPI Number for JENNY M BLISS (PMHNP) is 1336682947

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
JENNY M BLISS (PMHNP)
NPI
1336682947
Phone
Not provided
Address
2597 309TH AVE NW
Enumeration Date
30 November 2016
Last Update Date
28 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3206825225
Graduation Year
2016 (10 years ago)
PAC ID
2860774247
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20170119001140
Address ID
MN553021109AN440XXEXXX400
Telehealth
Yes

Contacts

Secure Messaging
jbliss62053@excellian.direct.allina.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:9State licenses:1Other namesUpdated within 12 months

5,720 NURSE PRACTITIONER in MN

Provider Addresses for JENNY M BLISS (PMHNP)

  • 2597 309TH AVE NW

    CAMBRIDGE, MN 550087045

    Phone:

    Type: Mailing

  • 2925 CHICAGO AVE

    MINNEAPOLIS, MN 554071321

    Phone: (612) 262-9000

    Type: Mailing

  • 701 DELLWOOD ST S

    CAMBRIDGE, MN 550081920

    Phone: (763) 688-8700

    Type: Location

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: 2017-01-19

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
I20170119001140INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes11654$0
36415Insertion of needle into vein for collection of blood sample5912$0
View full utilization report →

Insurance plans in this area (ZIP 55008)

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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: 4587573613View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm JENNY M BLISS (PMHNP)'s NPI?
Yes. JENNY M BLISS (PMHNP) is listed with NPI 1336682947 in the public NPI dataset.
Is JENNY M BLISS (PMHNP) listed as active for patients and plans?
The listing shows JENNY M BLISS (PMHNP) as active in the NPI system.
What is JENNY M BLISS (PMHNP)'s primary classification?
Nurse Practitioner is the headline specialty for JENNY M BLISS (PMHNP) here. Clinical services aligned with this taxonomy classification.
What address line appears for JENNY M BLISS (PMHNP)?
JENNY M BLISS (PMHNP)'s geographic hint is Cambridge, Minnesota in our summary view.
Why does JENNY M BLISS (PMHNP) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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