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JENNIFER DEBRA KISH GNP
NPI 1932372224
Nurse Practitioner - Gerontology in Eden Prairie, MN

Active since April 08, 2008PECOS Enrolled
8307 KIMBALL DR, EDEN PRAIRIE, MN 55347(612) 324-9111 Get Directions Write a Review

NPPES record last updated: August 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 28, 2021, Mar 26, 2018 (2 updates tracked since 2018).

About Jennifer Debra Kish Gnp NPPES

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

JENNIFER DEBRA KISH GNP (NPI 1932372224) is an individual gerontology provider in Eden Prairie, Minnesota, licensed in Minnesota (CNP0023) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1932372224
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameJENNIFER DEBRA KISHCredential: GNP
Location Address8307 KIMBALL DREden Prairie, MN 55347-2127
Mailing Address1157 Jubert TrlMedina, MN 55340-3707 · (952) 412-7019
Phone(612) 324-9111
Sole ProprietorNo
Enumeration DateApril 8, 2008
Last NPPES UpdateAugust 28, 20212 updates tracked since enumeration
NPPES CertifiedAugust 28, 2021
✔ NPI 1932372224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Licenses✔ Licensed in MN · CNP0023✔ Licensed in MN · R1722659
8307 KIMBALL DR, Eden Prairie, MN 55347
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13400 W 66th StEdina, MN 55435-2111 · Phone (952) 836-3637
Location 27701 York Street, Ste. 100Edina, MN 55435-5543 · Phone (125) 790-5976 · Fax (612) 493-4221

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

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 Debra Kish Gnp 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 55347 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 2

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

NATASHA AGHA CCC-SLP
Speech-Language Pathologist
8307 KIMBALL DR
EDEN PRAIRIE, MN 55347
Hennepin County (612) 324-9111
ONSITE IMAGING AND SPEECH SERVICES
Speech-Language Pathologist
8307 KIMBALL DR
EDEN PRAIRIE, MN 55347
Hennepin County (507) 261-8775

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 Kish's NPI number?

The NPI number for Jennifer Kish is 1932372224. It was assigned to this individual provider in the NPPES registry on April 8, 2008.

Where is Jennifer Kish located?

Jennifer Kish practices at 8307 Kimball Dr, Eden Prairie, MN 55347. The listed phone number is (612) 324-9111.

What is Jennifer Kish's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Jennifer Kish enrolled in Medicare?

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

What insurance does Jennifer Kish accept?

Health plans from Medica list Jennifer Kish 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.

When was this NPI record last updated?

The NPPES record for Jennifer Kish was last updated on August 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.