Individual provider Active NPI

Twila Jesso, CNP

  • Pediatric Nurse Practitioner
  • Onamia, MN
National Provider Identifier
1043552896
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
CNP 2811 Issued in MN
Practice address
43500 Migizi Dr
Onamia, MN 56359-2241
Phone
(320) 532-4163
NPI assigned
Mar 20, 2013
Last updated
Feb 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X 188626-5 MN
Pediatric Nurse Practitioner 363LP0200X CNP 2811 MN Primary

Addresses

Primary practice location

43500 Migizi Dr
Onamia, MN 56359-2241

Mailing address

43500 Migizi Dr
Onamia, MN 56359-2241
Phone (320) 532-4163

Other practice location 1

715 S 8th St
Minneapolis, MN 55404-7530
Phone (612) 873-6963

Other names 1

  • Twil Klasen Former name

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
I20150930003337 MN Practitioner - Nurse Practitioner 4587972161 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
188626-5MNMDPediatric Registered Nurse
CNP 2811MNMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services Current Accepting new patients
Hennepin Healthcare System, Inc Current Accepting new patients
Fairview Clinics CurrentSince Sep 12, 2015 Accepting new patients
Fairview Clinics Current Accepting new patients
Fairview Clinics CurrentSince May 28, 2020 Accepting new patients
Hennepin Healthcare System, Inc CurrentSince Dec 18, 2024 Accepting new patients
Fairview Clinics CurrentSince May 28, 2020 Accepting new patients
Hennepin Healthcare System Inc CurrentSince Dec 18, 2024 Accepting new patients
Fairview Health Services CurrentSince Sep 12, 2015 Accepting new patients
Fairview Health Services Current Accepting new patients
Fairview Clinics Past Accepting new patients

Locations

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

290 Main St NW
Ste 100
Elk River, MN 55330
Phone (763) 241-0373

400 Stinson Blvd
Minneapolis, MN 55413
Phone (612) 672-2258

701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005

715 S 8th St
Minneapolis, MN 55404
Phone (612) 873-6010

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

14040 Northdale Blvd
Ste 100
Rogers, MN 55374
Phone (763) 488-4100

Interoperability endpoints

  • Direct secure messaging: tjesso202789@fairview.direct-ci.com

Organizations & group practices 12

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

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1043552896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43500 MIGIZI DR",
            "city": "ONAMIA",
            "state": "MN",
            "postal_code": "563592241",
            "telephone_number": "320-532-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43500 MIGIZI DR",
            "city": "ONAMIA",
            "state": "MN",
            "postal_code": "563592241",
            "telephone_number": "320-532-4163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715 S 8th St",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554047530",
            "country_code": "US",
            "telephone_number": "612-873-6963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JESSO",
        "first_name": "TWILA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "MN",
            "license": "188626-5",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MN",
            "license": "CNP 2811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TWIL",
            "last_name": "KLASEN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Onamia, MN

Sources for this page

Verify at the official NPI Registry.