Bree Yaeger Jensen, DNP, APRN, CNP
Individual provider Active NPI Nurse Practitioner · Minnetrista, MN
NPI 1003268772 · NPPES record last updated Jul 6, 2016
Key facts
- NPI
- 1003268772
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- CNP 4596 (MN)
- Practice address
- 5520 Ridgewood CV
Minnetrista, MN 55364-8239 - Phone
- (612) 865-5262
- NPI assigned
- Jul 6, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Consultative Health and Medicine PA
Practice addresses (Care Compare)
5520 Ridgewood CV
Minnetrista, MN 55364-8239
Phone 80087305611
Hospital & facility affiliations
- M Health Fairview University of MN Medical Center
- Park Nicollet Methodist Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160824000606 | MN | Practitioner - Nurse Practitioner | 0941595391 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP 4596 | MN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consultative Health and Medicine, PA | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | CNP 4596 | MN | Yes |
Addresses
Primary practice location
5520 Ridgewood CV
Minnetrista, MN 55364-8239
Mailing address
1634 Hillcrest Ave
Saint Paul, MN 55116-2147
Phone (651) 331-9131
Other providers in Minnetrista, MN
- Nicole Marie Hentges
- Brian Hood
- Julie Humbert
- Ind School Dist 277
- Integrity Wound Care MN PLLC
- Chris J Johnson
- Kinder Care Homecare Services
- Kindercare Homecare Services
- Kindercare Pca Services LLC
- Matt Kowal
All providers in Minnetrista, MN · Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.