CONNIE JAENICKE NP
NPI 1508875063
Nurse Practitioner in Burnsville, MN
About Connie Jaenicke Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONNIE JAENICKE NP (NPI 1508875063) is an individual nurse practitioner in Burnsville, Minnesota, licensed in Minnesota (CNP1484) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and maintains a secondary practice location in Minneapolis.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Connie Jaenicke 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.
Medicare Billing Reassignments
2Medicare enrollment records show Connie Jaenicke reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Apple Valley, MN 55124
- Reassigned Medicare billing, Minnesota enrollment
- 2,274 clinicians in this Medicare group
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Park Nicollet Clinic
- 2,527 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Park Nicollet Methodist Hospital
Acute Care Hospitals · Saint Louis Park, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55337 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Connie Jaenicke's NPI number?
The NPI number for Connie Jaenicke is 1508875063. It was assigned to this individual provider in the NPPES registry on August 5, 2006.
Where is Connie Jaenicke located?
Connie Jaenicke practices at 14000 Fairview Dr, Burnsville, MN 55337. The listed phone number is (952) 993-8700.
What is Connie Jaenicke's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Connie Jaenicke enrolled in Medicare?
Yes. Connie Jaenicke 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.
Which organizations bill Medicare for Connie Jaenicke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Connie Jaenicke reassigns Medicare benefits to 2 organizations: Group Health, Inc. (Apple Valley, MN) and Park Nicollet Methodist Hospital (St Louis Park, MN). 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 Connie Jaenicke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Connie Jaenicke accept?
Health plans from HealthPartners list Connie Jaenicke 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 Connie Jaenicke affiliated with any hospitals?
According to CMS data, Connie Jaenicke is affiliated with Park Nicollet Methodist Hospital.
When was this NPI record last updated?
The NPPES record for Connie Jaenicke was last updated on August 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Connie Jaenicke, NP · NPI 1508875063
Nurse Practitioner physician in Burnsville, Minnesota. Individual provider, active in the CMS NPPES registry since August 5, 2006.
## Identity
- **NPI:** 1508875063 (Entity type: Individual)
- **Enumerated:** August 5, 2006
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** CNP1484 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 14000 FAIRVIEW DR, Burnsville, MN 55337-5713
- **Phone:** (952) 993-8700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Group Health, Inc. (NPI 1073668877, Apple Valley, MN); Park Nicollet Methodist Hospital (NPI 1194113217, St Louis Park, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** August 31, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1508875063) · Data from the CMS NPPES public registry.