JESSICA A NYBAKKEN FNP
NPI 1164657607
Nurse Practitioner in Staples, MN
About Jessica A Nybakken Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA A NYBAKKEN FNP (NPI 1164657607) is an individual nurse practitioner in Staples, Minnesota, licensed in Minnesota (2322) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, is affiliated with Essentia Health St Joseph's Medical Center, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jessica A Nybakken Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Jessica Nybakken reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Staples, MN 56479
- Reassigned Medicare billing, Minnesota enrollment
- 136 clinicians in this Medicare group
Staples, MN 56479
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: St Josephs Medical Center
- 340 clinicians in this Medicare group
Baxter, MN 56425
- Reassigned Medicare billing, Minnesota enrollment
- 127 clinicians in this Medicare group
Grand Rapids, MN 55744
- Reassigned Medicare billing, Minnesota enrollment
- 1,460 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Essentia Health St Joseph's Medical Center
Acute Care Hospitals · Brainerd, MNLakewood Health System
Critical Access Hospitals · Staples, MNAstera Health
Critical Access Hospitals · Wadena, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 56479 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
STAPLES, MN 56479
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 Jessica Nybakken's NPI number?
The NPI number for Jessica Nybakken is 1164657607. It was assigned to this individual provider in the NPPES registry on May 28, 2009.
Where is Jessica Nybakken located?
Jessica Nybakken practices at 49725 County 83, Staples, MN 56479. The listed phone number is (218) 894-1515.
What is Jessica Nybakken's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Jessica Nybakken enrolled in Medicare?
Yes. Jessica Nybakken is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jessica Nybakken's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Nybakken reassigns Medicare benefits to 4 organizations: Lakewood Health System (Staples, MN), St Joseph's Medical Center (Staples, MN), Brainerd Medical Center Inc (Baxter, MN) and The Duluth Clinic Ltd (Grand Rapids, 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 Jessica Nybakken's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jessica Nybakken affiliated with any hospitals?
According to CMS data, Jessica Nybakken is affiliated with Essentia Health St Joseph's Medical Center, Lakewood Health System and Astera Health.
When was this NPI record last updated?
The NPPES record for Jessica Nybakken was last updated on February 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jessica A Nybakken, FNP · NPI 1164657607
Nurse Practitioner physician in Staples, Minnesota. Individual provider, active in the CMS NPPES registry since May 28, 2009.
## Identity
- **NPI:** 1164657607 (Entity type: Individual)
- **Enumerated:** May 28, 2009
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 2322 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 49725 COUNTY 83, Staples, MN 56479-5280
- **Phone:** (218) 894-1515 · **Fax:** (218) 894-8767
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Lakewood Health System (NPI 1124019054, Staples, MN); St Joseph's Medical Center (NPI 1538916101, Staples, MN); Brainerd Medical Center Inc (NPI 1700162328, Baxter, MN); The Duluth Clinic Ltd (NPI 1184132664, Grand Rapids, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** February 22, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1164657607) · Data from the CMS NPPES public registry.