KAITLYN NICOL JAMISON CPNP
NPI 1245951078
Nurse Practitioner - Pediatrics in Minneapolis, MN

Active since September 09, 2022PECOS Enrolled
425 20TH AVE S, MINNEAPOLIS, MN 55454(612) 332-4973(612) 238-3534 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2025, Oct 27, 2022, Sep 9, 2022 (3 updates tracked since 2022).

About Kaitlyn Nicol Jamison Cpnp NPPES

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

KAITLYN NICOL JAMISON CPNP (NPI 1245951078) is an individual pediatrics provider in Minneapolis, Minnesota, licensed in Minnesota (13693) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1245951078
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKAITLYN NICOL JAMISONCredential: CPNP
Location Address425 20TH AVE SMinneapolis, MN 55454-4400
Mailing Address425 20th Ave SMinneapolis, MN 55454-4400 · (617) 636-5000
Fax(612) 238-3534
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 9, 2022
Last NPPES UpdateJuly 7, 20253 updates tracked since enumeration
NPPES CertifiedJuly 7, 2025
NPI 1245951078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in MN · 13693
425 20TH AVE S, Minneapolis, MN 55454

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kaitlyn Nicol Jamison Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012380934
PECOS Enrollment IDI20250911001165
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55454 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.

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.

Family Medicine
425 20TH AVE S
MINNEAPOLIS, MN 55454
Clinic/Center (Federally Qualified Health Center (FQHC))
425 20TH AVE S
MINNEAPOLIS, MN 55454
Counselor (Mental Health)
425 20TH AVE S
MINNEAPOLIS, MN 55454
Social Worker
425 20TH AVE S
MINNEAPOLIS, MN 55454
Pharmacist (Pharmacotherapy)
425 20TH AVE S
MINNEAPOLIS, MN 55454
Nurse Practitioner (Pediatrics)
425 20TH AVE S
MINNEAPOLIS, MN 55454
Family Medicine
425 20TH AVE S
MINNEAPOLIS, MN 55454
Nurse Practitioner (Adult Health)
425 20TH AVE S, DAVITA CLINICAL RESEARCH
MINNEAPOLIS, MN 55454

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 Kaitlyn Jamison's NPI number?

The NPI number for Kaitlyn Jamison is 1245951078. It was assigned to this individual provider in the NPPES registry on September 9, 2022.

Where is Kaitlyn Jamison located?

Kaitlyn Jamison practices at 425 20th Ave S, Minneapolis, MN 55454. The listed phone number is (612) 332-4973.

What is Kaitlyn Jamison's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kaitlyn Jamison enrolled in Medicare?

Yes. Kaitlyn Jamison is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kaitlyn Jamison was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.