JENNIFER BREMER RD, LD
NPI 1114627171
Dietitian, Registered in Maple Grove, MN

Active since March 08, 2023
14500 99TH AVE N, MAPLE GROVE, MN 55369(763) 898-1000 Get Directions Write a Review

NPPES record last updated: March 8, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jennifer Bremer Rd, Ld NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER BREMER RD, LD (NPI 1114627171) is an individual dietitian, registered in Maple Grove, Minnesota, licensed in Minnesota (2998) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1114627171
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameJENNIFER BREMERCredential: RD, LD
Location Address14500 99TH AVE NMaple Grove, MN 55369-4730
Mailing Address5109 102nd Trl NMinneapolis, MN 55443-2099 · (763) 843-0620
Sole ProprietorNo
Enumeration DateMarch 8, 2023
NPPES CertifiedMarch 8, 2023
✔ NPI 1114627171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in MN · 2998
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
14500 99TH AVE N, Maple Grove, MN 55369

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Bremer Rd, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Jennifer Bremer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Multi-Specialty
14500 99TH AVE N, STE 100
Maple Grove, MN 55369
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,302 clinicians in this Medicare group
Medical Oncology
14500 99TH AVE N, STE LL200
Maple Grove, MN 55369
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Diabetes Educator)
14500 99TH AVE N
MAPLE GROVE, MN 55369
Social Worker (Clinical)
14500 99TH AVE N
MAPLE GROVE, MN 55369
Occupational Therapist (Hand)
14500 99TH AVE N, #1-210
MAPLE GROVE, MN 55369
Dietitian, Registered
14500 99TH AVE N
MAPLE GROVE, MN 55369
Pharmacist
14500 99TH AVE N
MAPLE GROVE, MN 55369
Psychologist (Clinical)
14500 99TH AVE N
MAPLE GROVE, MN 55369
Internal Medicine (Nephrology)
14500 99TH AVE N, MEDICAL SPECIALTY CLINIC
MAPLE GROVE, MN 55369
Non-Pharmacy Dispensing Site
14500 99TH AVE N
MAPLE GROVE, MN 55369

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Bremer's NPI number?

The NPI number for Jennifer Bremer is 1114627171. It was assigned to this individual provider in the NPPES registry on March 8, 2023.

Where is Jennifer Bremer located?

Jennifer Bremer practices at 14500 99th Ave N, Maple Grove, MN 55369. The listed phone number is (763) 898-1000.

What is Jennifer Bremer's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Jennifer Bremer enrolled in Medicare?

Yes. Jennifer Bremer is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jennifer Bremer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Bremer reassigns Medicare benefits to 2 organizations: Fairview Clinics (Maple Grove, MN) and Fairview Express Care (Maple Grove, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Bremer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Bremer was last updated on March 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.