JEREMY LEE COUDRON NP
NPI 1215547757
Nurse Practitioner in Coon Rapids, MN

Active since August 07, 2020PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
4050 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433(651) 747-7676 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jeremy Lee Coudron Np NPPES

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

JEREMY LEE COUDRON NP (NPI 1215547757) is an individual nurse practitioner in Coon Rapids, Minnesota, licensed in Minnesota (7594) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS, is affiliated with Regions Hospital, and maintains a secondary practice location in Saint Paul.

NPPES Registry Identity

NPI1215547757
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJEREMY LEE COUDRONCredential: NP
Location Address4050 COON RAPIDS BLVD NWCoon Rapids, MN 55433-2522
Mailing Address4050 Coon Rapids Blvd NwCoon Rapids, MN 55433-2522
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 7, 2020
Last NPPES UpdateApril 25, 2023
NPPES CertifiedApril 25, 2023
✔ NPI 1215547757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MN · 7594
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4050 COON RAPIDS BLVD NW, Coon Rapids, MN 55433

Secondary Practice Location 1

Location 1640 Jackson StSaint Paul, MN 55101-2502 · Phone (952) 967-7977 · Fax (651) 254-7990

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

Jeremy Lee Coudron Np 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.

PECOS PAC ID1850710534
PECOS Enrollment IDI20200929003566
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

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

Neurological Surgery
11850 BLACKFOOT ST NW STE 490
Coon Rapids, MN 55433
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,609 clinicians in this Medicare group
Health Service
2100 3RD AVE, ANOKA COUNTY GOVERNMENT CENTER
Anoka, MN 55303
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Group Health Inc
  • 2,274 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
60 services22 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
46 services26 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Regions Hospital

Acute Care Hospitals · Saint Paul, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240106
Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55433 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

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.

Pharmacist
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Physical Therapist
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Physician Assistant
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Internal Medicine
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Physician Assistant
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Hospitalist
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Internal Medicine
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Psychologist (Clinical)
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433

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 Jeremy Coudron's NPI number?

The NPI number for Jeremy Coudron is 1215547757. It was assigned to this individual provider in the NPPES registry on August 7, 2020.

Where is Jeremy Coudron located?

Jeremy Coudron practices at 4050 Coon Rapids Blvd NW, Coon Rapids, MN 55433. The listed phone number is (651) 747-7676.

What is Jeremy Coudron's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jeremy Coudron enrolled in Medicare?

Yes. Jeremy Coudron 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 Jeremy Coudron's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Coudron reassigns Medicare benefits to 2 organizations: Allina Health System (Coon Rapids, MN) and Group Health Plan, Inc. (Anoka, 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 Jeremy Coudron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jeremy Coudron affiliated with any hospitals?

According to CMS data, Jeremy Coudron is affiliated with Regions Hospital.

When was this NPI record last updated?

The NPPES record for Jeremy Coudron was last updated on April 25, 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.