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: November 01, 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.

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
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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 Kaitlyn Jamison reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
425 20TH AVE S
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Cedar Riverside Peoples Center
  • 5 clinicians in this Medicare group
Pediatrics
800 WASHINGTON ST, BOX 1013
Boston, MA 02111
  • Reassigned Medicare billing, Massachusetts enrollment
  • 202 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.

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.

Which organizations bill Medicare for Kaitlyn Jamison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlyn Jamison reassigns Medicare benefits to 2 organizations: Cedar Riverside People's Center (Minneapolis, MN) and Pratt Pediatric Associates Inc (Boston, MA). 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 Kaitlyn Jamison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kaitlyn Jamison accept?

Health plans from HealthPartners list Kaitlyn Jamison 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.

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 15 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.