Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JESSICCA LEE NYSTUEN APRN
NPI 1740195577
Nurse Practitioner in Minneapolis, MN

Q: What is Jessicca Nystuen's NPI number?

The NPI number for Jessicca Nystuen is 1740195577. It was assigned to this individual provider in the NPPES registry on August 17, 2026.

Q: What is Jessicca Nystuen'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 Jessicca Nystuen was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.

Active since August 17, 2026

909 FULTON ST SE, MINNEAPOLIS, MN 55455(612) 884-0600 Get Directions Write a Review

NPPES record added: September 17, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 17, 2026, Aug 17, 2026 (2 updates tracked since 2026).

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About Jessicca Lee Nystuen Aprn NPPES

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

JESSICCA LEE NYSTUEN APRN (NPI 1740195577) is an individual nurse practitioner in Minneapolis, Minnesota, licensed in Minnesota (14654) and active in the NPI registry since August 2026. She maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1740195577

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJESSICCA LEE NYSTUENCredential: APRN

Location Address909 FULTON ST SEMinneapolis, MN 55455-4800

Mailing Address420 Delaware St SeMinneapolis, MN 55455-0341

Phone(612) 884-0600

Sole ProprietorNo

Enumeration DateAugust 17, 2026

Last NPPES UpdateSeptember 17, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2026

✔ NPI 1740195577 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 · 14654

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.

909 FULTON ST SE, Minneapolis, MN 55455

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Secondary Practice Location 1

Location 12450 Riverside AveMinneapolis, MN 55454-1450 · Phone (612) 672-6000

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.

DR. RONALD ALEXANDER REILKOFF M.D.

Internal Medicine (Pulmonary Disease)

909 FULTON ST SE
MINNEAPOLIS, MN 55455

Hennepin County (612) 672-7422

EUGENIA SHMIDT MD

Internal Medicine (Gastroenterology)

909 FULTON ST SE
MINNEAPOLIS, MN 55455

Hennepin County (507) 284-2511

DR. ROBERT ALLEN MCGOVERN III M.D.

Neurological Surgery

909 FULTON ST SE
MINNEAPOLIS, MN 55455

Hennepin County (612) 672-7422

KIMBERLY EHLERT PHARMD, RPH

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

909 FULTON ST SE, 3RD FLOOR, CLINIC AND SURGERY CENTER
MINNEAPOLIS, MN 55455

Hennepin County (612) 672-5341

NUTTAVUT SUMRANSUB M.D.

Internal Medicine (Hematology & Oncology)

909 FULTON ST SE
MINNEAPOLIS, MN 55455

Hennepin County (612) 672-7422

UNIVERSITY OF MINNESOTA HEALTH CLINICS AND SURGERY CENTER INC

Anesthesiology

909 FULTON ST SE
MINNEAPOLIS, MN 55455

Hennepin County (612) 273-8383

MARY MELTON PHD

Psychologist (Clinical)

909 FULTON ST SE, BUILDING 2
MINNEAPOLIS, MN 55455

Hennepin County (612) 672-7422

DR. BRITTANI LAUREN CONWAY M.D.

Psychiatry & Neurology (Neurology)

909 FULTON ST SE
MINNEAPOLIS, MN 55455

Hennepin County (651) 226-2890

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 Jessicca Nystuen's NPI number?

The NPI number for Jessicca Nystuen is 1740195577. It was assigned to this individual provider in the NPPES registry on August 17, 2026.

Where is Jessicca Nystuen located?

Jessicca Nystuen practices at 909 Fulton St SE, Minneapolis, MN 55455. The listed phone number is (612) 884-0600.

What is Jessicca Nystuen's specialty?

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

When was this NPI record last updated?

The NPPES record for Jessicca Nystuen was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.