JENNIFER THEIS (NP) – Nurse Practitioner, NPI 1417952805

JENNIFER THEIS (NP) is a healthcare provider. based in Rochester, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 1196 (MN). The NPI Number for JENNIFER THEIS (NP) is 1417952805

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER THEIS (NP)
NPI
1417952805
Phone
(507) 284-2511
Address
200 1ST ST SW
Enumeration Date
14 June 2005
Last Update Date
6 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5072842511
Graduation Year
1999 (27 years ago)
PAC ID
2860397981
Group Practice PAC ID
6507778255
Professional Enrollment ID
I20031203000143
Address ID
MN559050001RO200XXSWXX400
Telehealth
Yes

Contacts

Secure Messaging
jtheis151417@ehrdirect.mayoclinicmsg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience77
Completeness85
Years active:20State licenses:3Other namesUpdated within 12 months

5,720 NURSE PRACTITIONER in MN

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Provider Addresses for JENNIFER THEIS (NP)

  • 1st Street Southwest, Rochester, Olmsted County, Minnesota, 55903, United States

    ROCHESTER, MN 559050001

    Phone: (507) 284-2511

    Mailing address matches the actual address.

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: 2003-12-03

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
I20031203000143INurse 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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4828$0
99239Hospital discharge day management, more than 30 minutes1414$0
99285Emergency department visit with high level of medical decision making1212$0
View full utilization report →

Insurance plans in this area (ZIP 55905)

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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: 6507778255View full group profile

Reviews

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Frequently asked questions

Does JENNIFER THEIS (NP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JENNIFER THEIS (NP) uses 1417952805.
Does CMS list JENNIFER THEIS (NP) as active?
Yes — JENNIFER THEIS (NP) is active in the NPI listing used on this page.
What taxonomy line describes JENNIFER THEIS (NP)?
For research purposes, treat JENNIFER THEIS (NP) as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is JENNIFER THEIS (NP) based?
JENNIFER THEIS (NP) is tied to Rochester, Minnesota in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.