Individual provider Active NPI

Jeremy Leclaire

  • Nurse Practitioner
  • Burnsville, MN
National Provider Identifier
1003548256
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9266 Issued in MN
Practice address
303 E Nicollet Blvd
Burnsville, MN 55337-4522
Phone
(952) 460-4000
NPI assigned
Jun 27, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9266 MN Primary

Addresses

Primary practice location

303 E Nicollet Blvd
Burnsville, MN 55337-4522

Mailing address

6670 131St St W
Apple Valley, MN 55124-4104
Phone (952) 693-6285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220726003746 MN Practitioner - Nurse Practitioner 3072995802 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Group Health IncGroup PAC ID 1759293954, 1,627 clinicians

Practice addresses (Care Compare)

640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 254-4786

Hospital & facility affiliations

  • Regions Hospital Hospital, Saint Paul, MN, CCN 240106

Merit-based Incentive Payment System (MIPS)

Final score
92.35 of 100Reported as group
Quality
91.74
Promoting interoperability
100
Improvement activities
40
Cost
77.13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9266MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services CurrentSince Jul 1, 2022 Accepting new patients
North Memorial Health Care Current Accepting new patients
Fairview Clinics CurrentSince Jul 1, 2022 Accepting new patients
Fairview Clinics CurrentSince Jul 1, 2022 Accepting new patients
Fairview Express Care Current Accepting new patients
North Memorial Health Care CurrentSince Aug 27, 2024 Accepting new patients
Fairview Clinics Current Accepting new patients
Group Health, Inc. CurrentSince Oct 15, 2023 Accepting new patients
Group Health, Inc. CurrentSince Oct 15, 2023 Accepting new patients
Fairview Express Care CurrentSince Jul 1, 2022 Accepting new patients
North Memorial Health Care CurrentSince Aug 27, 2024 Accepting new patients
Fairview Express Care CurrentSince Jul 1, 2022 Accepting new patients
Fairview Health Services CurrentSince Jul 1, 2022 Accepting new patients

Locations

303 E Nicollet Blvd
Ste 171
Burnsville, MN 55337
Phone (952) 892-2270

303 E Nicollet Blvd
Ste 160
Burnsville, MN 55337
Phone (952) 460-4000

201 E Nicollet Blvd
Burnsville, MN 55337
Phone (952) 892-2000

303 E Nicollet Blvd
Burnsville, MN 55337
Phone (952) 460-4000

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

3366 Oakdale Ave N
Ste 200
Robbinsdale, MN 55422
Phone (763) 287-5000

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

3366 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5281

640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164

1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1003548256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6670 131ST ST W",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551244104",
            "telephone_number": "952-693-6285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E NICOLLET BLVD",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374522",
            "telephone_number": "952-460-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECLAIRE",
        "first_name": "JEREMY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "9266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

Verify at the official NPI Registry.