JESSICA M ATHERTON RN
NPI 1255717674
Nurse Practitioner - Psychiatric/Mental Health in Saint Paul, MN

Active since August 07, 2015PECOS Enrolled
345 SMITH AVE N, SAINT PAUL, MN 55102(970) 494-9761 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica M Atherton Rn NPPES

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

JESSICA M ATHERTON RN (NPI 1255717674) is an individual psychiatric/mental health provider in Saint Paul, Minnesota, licensed in Minnesota (12580) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1255717674
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJESSICA M ATHERTONCredential: RN
Location Address345 SMITH AVE NSaint Paul, MN 55102-2346
Mailing Address18657 Clear View CtMinnetonka, MN 55345-6087 · (906) 458-5130
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 7, 2015
Last NPPES UpdateMarch 3, 2025
NPPES CertifiedMarch 3, 2025
NPI 1255717674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MN · 12580
345 SMITH AVE N, Saint Paul, MN 55102

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jessica M Atherton Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42799629
PECOS Enrollment IDI20260204003842
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 55102 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.

Pharmacist
345 SMITH AVE N
SAINT PAUL, MN 55102
Nurse Practitioner (Primary Care)
345 SMITH AVE N
SAINT PAUL, MN 55102
Genetic Counselor, MS
345 SMITH AVE N, MAILSTOP 61-245
SAINT PAUL, MN 55102
Social Worker (Clinical)
345 SMITH AVE N
SAINT PAUL, MN 55102
Nurse Practitioner
345 SMITH AVE N
SAINT PAUL, MN 55102
Nurse Practitioner (Pediatrics)
345 SMITH AVE N
SAINT PAUL, MN 55102
Pediatrics (Pediatric Emergency Medicine)
345 SMITH AVE N
SAINT PAUL, MN 55102
Physician Assistant
345 SMITH AVE N
SAINT PAUL, MN 55102

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 Atherton's NPI number?

The NPI number for Jessica Atherton is 1255717674. It was assigned to this individual provider in the NPPES registry on August 7, 2015.

Where is Jessica Atherton located?

Jessica Atherton practices at 345 Smith Ave N, Saint Paul, MN 55102. The listed phone number is (970) 494-9761.

What is Jessica Atherton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jessica Atherton enrolled in Medicare?

Yes. Jessica Atherton is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Atherton was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.