JENNIFER NELSON NP
NPI 1245615194
Nurse Practitioner - Primary Care in Crystal, MN

Active since July 21, 2015PECOS EnrolledAccepts Medicare Assignment
84.12/100
CMS Quality Rating
5200 DOUGLAS DR N, CRYSTAL, MN 55429(763) 400-3628(763) 342-4183 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 8, 2018, Nov 28, 2017 (2 updates tracked since 2017).

About Jennifer Nelson Np NPPES

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

JENNIFER NELSON NP (NPI 1245615194) is an individual primary care provider in Crystal, Minnesota, licensed in Minnesota (R 159960-4) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with North Memorial Health Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1245615194
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameJENNIFER NELSONCredential: NP
Location Address5200 DOUGLAS DR NCrystal, MN 55429-3104
Mailing Address2004 Ford PkwySaint Paul, MN 55116-1931 · (612) 256-8225 · Fax (612) 457-0216
Fax(763) 342-4183
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 21, 2015
Last NPPES UpdateOctober 30, 20242 updates tracked since enumeration
NPPES CertifiedOctober 30, 2024
NPI 1245615194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in MN · R 159960-4
5200 DOUGLAS DR N, Crystal, MN 55429

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jennifer Nelson 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 ID941516728
PECOS Enrollment IDI20150825005080
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.

Areas of Expertise CMS Part B claims 11

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.

Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
161 services72 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
93 services57 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
81 services55 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
74 services34 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
57 services57 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
33 services33 patients

Hospital Affiliations CMS Care Compare 2

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

North Memorial Health Hospital

Acute Care Hospitals · Robbinsdale, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240001
Location3300 Oakdale NorthRobbinsdale, MN 55422 · Hennepin County
Emergency services Birthing friendly

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55429 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.

84.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.03
Promoting Interoperability99
Improvement Activities40
Cost62.83

Other Providers at the Same Location NPPES 12

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

Nurse Practitioner (Gerontology)
5200 DOUGLAS DR N
CRYSTAL, MN 55429
Internal Medicine
5200 DOUGLAS DR N
CRYSTAL, MN 55429
Nurse Practitioner (Gerontology)
5200 DOUGLAS DR N
CRYSTAL, MN 55429
Optometrist
5200 DOUGLAS DR N
CRYSTAL, MN 55429
Family Medicine
5200 DOUGLAS DR N
CRYSTAL, MN 55429
Social Worker
5200 DOUGLAS DR N
CRYSTAL, MN 55429
Optometrist
5200 DOUGLAS DR N
CRYSTAL, MN 55429
Nurse Practitioner (Adult Health)
5200 DOUGLAS DR N
CRYSTAL, MN 55429

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 Nelson's NPI number?

The NPI number for Jennifer Nelson is 1245615194. It was assigned to this individual provider in the NPPES registry on July 21, 2015.

Where is Jennifer Nelson located?

Jennifer Nelson practices at 5200 Douglas Dr N, Crystal, MN 55429. The listed phone number is (763) 400-3628.

What is Jennifer Nelson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Jennifer Nelson enrolled in Medicare?

Yes. Jennifer Nelson 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.

What insurance does Jennifer Nelson accept?

Health plans from Medica list Jennifer Nelson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jennifer Nelson affiliated with any hospitals?

According to CMS data, Jennifer Nelson is affiliated with North Memorial Health Hospital and Abbott Northwestern Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Nelson was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.