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MS. JENNIFER LIN HERTHER APN
NPI 1265868624
Nurse Practitioner - Adult Health in Coon Rapids, MN

Active since September 17, 2013PECOS Enrolled
3495 NORTHDALE BLVD NW STE 100, COON RAPIDS, MN 55448(763) 323-4127(763) 401-6353 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Jennifer Lin Herther Apn NPPES

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

MS. JENNIFER LIN HERTHER APN (NPI 1265868624) is an individual adult health provider in Coon Rapids, Minnesota, licensed in Minnesota (5802) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265868624
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. JENNIFER LIN HERTHERCredential: APN
Location Address3495 NORTHDALE BLVD NW STE 100Coon Rapids, MN 55448-6713
Mailing Address3495 Northdale Blvd Nw Ste 100Coon Rapids, MN 55448-6713 · (202) 715-7900 · Fax (202) 544-4393
Phone(763) 323-4127
Fax(763) 401-6353
Sole ProprietorNo
Enumeration DateSeptember 17, 2013
Last NPPES UpdateFebruary 15, 2024
NPPES CertifiedFebruary 15, 2024
✔ NPI 1265868624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in MN · 5802✔ Licensed in IL · 209010700
3495 NORTHDALE BLVD NW STE 100, Coon Rapids, MN 55448
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Other Names 1

Former Name (1)Jennifer Lin Dennison

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jennifer Lin Herther Apn 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 Reassignment

Medicare enrollment records show Jennifer Herther reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New Kingdom Pediatrics LLC
22 mi
Clinic/Center
6452 CITY WEST PKWY
Eden Prairie, MN 55344
  • Reassigned Medicare billing, Minnesota enrollment
  • 30 clinicians in this Medicare group
NPI 1760816045 (952) 999-0333

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 55448 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 4

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

BETH TUTTLE MASCHOFF RDN, LD
Dietitian, Registered (Nutrition, Obesity and Weight Management)
3495 NORTHDALE BLVD NW STE 100
COON RAPIDS, MN 55448
Anoka County (763) 210-2608
AMANDA KEMPA
Nurse Practitioner (Adult Health)
3495 NORTHDALE BLVD NW STE 100
COON RAPIDS, MN 55448
Anoka County (763) 323-4127
MICHELE MARIE MATHEWS RDN
Dietitian, Registered (Nutrition, Obesity and Weight Management)
3495 NORTHDALE BLVD NW STE 100
COON RAPIDS, MN 55448
Anoka County (763) 453-7327
LIVEA MEDICAL PLLC
Preventive Medicine (Obesity Medicine)
3495 NORTHDALE BLVD NW STE 100
COON RAPIDS, MN 55448
Anoka County (763) 210-2608

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 Herther's NPI number?

The NPI number for Jennifer Herther is 1265868624. It was assigned to this individual provider in the NPPES registry on September 17, 2013. The provider is also known as Jennifer Lin Dennison.

Where is Jennifer Herther located?

Jennifer Herther practices at 3495 Northdale Blvd NW Ste 100, Coon Rapids, MN 55448. The listed phone number is (763) 323-4127.

What is Jennifer Herther's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jennifer Herther enrolled in Medicare?

Yes. Jennifer Herther is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Herther's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Herther reassigns Medicare benefits to New Kingdom Pediatrics LLC (Eden Prairie, MN). The 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 Jennifer Herther's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Herther was last updated on February 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.