JENNIFER MAYTUM CPNP
NPI 1629150248
Nurse Practitioner in Saint Paul, MN

Q: What is Jennifer Maytum's NPI number?

The NPI number for Jennifer Maytum is 1629150248. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Q: What is Jennifer Maytum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Maytum was last updated on January 4, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 20, 2006PECOS Enrolled

200 UNIVERSITY AVE E, SAINT PAUL, MN 55101(651) 325-2121(651) 325-2122 Get Directions Write a Review

NPPES record last updated: January 4, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jennifer Maytum Cpnp NPPES

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

JENNIFER MAYTUM CPNP (NPI 1629150248) is an individual nurse practitioner in Saint Paul, Minnesota, licensed in Minnesota (R1036837) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629150248

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJENNIFER MAYTUMCredential: CPNP

Location Address200 UNIVERSITY AVE ESaint Paul, MN 55101-2507

Mailing Address200 University Ave ESaint Paul, MN 55101-2507 · (651) 325-2121 · Fax (651) 325-2122

Phone(651) 325-2121

Fax(651) 325-2122

Sole ProprietorNo

Enumeration DateOctober 20, 2006

Last NPPES UpdateJanuary 4, 2008

✔ NPI 1629150248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MN · R1036837

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

200 UNIVERSITY AVE E, Saint Paul, MN 55101

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Other Identifiers 1

Medicare UPINS62172

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Maytum 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55101 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.