JENNIFER EVELYN PAINE (DNP, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1851915086
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,720 NURSE PRACTITIONER in MN
Provider Addresses for JENNIFER EVELYN PAINE (DNP, PMHNP-BC)
4027 COUNTY ROAD 25
MINNEAPOLIS, MN 554162629
Phone: (612) 925-6033
Fax: (612) 925-8496
Type: Location
7701 ERIE AVE
CHANHASSEN, MN 553179703
Phone: (952) 994-4607
Type: Mailing
270 MAIN ST N STE 300
STILLWATER, MN 550826788
Phone: (651) 342-1039
Type: Location
4240 PARK GLEN RD
ST LOUIS PARK, MN 554165427
Phone: (612) 925-6033
Fax: (612) 925-8496
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2020-07-16
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 |
|---|---|---|---|---|
| I20200716001480 | 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 |
|---|---|---|---|---|
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 485 | 197 | $0 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 91 | 76 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 47 | 47 | $0 |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 28 | 28 | $0 |
Insurance plans in this area (ZIP 55416)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| - | MN | |
| Clinical Social Worker | MN | |
| Clinical Social Worker | WI | |
| - | MN | |
| - | MN | |
| - | MN | |
| Clinical Psychologist | MN | |
| Clinical Social Worker | MN | |
| - | MN |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.