Active NPI
Jennifer Rene Nimerick, MD
- Emergency Medicine Physician
- Bloomington, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036168703
- Practice address
- 4300 Marketpointe Dr Ste 100
Bloomington, MN 55435-5435 - Phone
- (952) 835-9880
- Fax
- (952) 857-1554
- NPI assigned
- Aug 29, 2006
- Last updated
- Jun 5, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4301078020 | MI | |
| Emergency Medicine Physician | 207P00000X | M5410 | TX | |
| Emergency Medicine Physician | 207P00000X | 1614 | WI | |
| Emergency Medicine Physician | 207P00000X | 70378 | MN | |
| Emergency Medicine Physician | 207P00000X | 036168703 | IL | Primary |
Addresses
Primary practice location
4300 Marketpointe Dr Ste 100
Bloomington, MN 55435-5435
Mailing address
3082 Willow Dr
Medina, MN 55340-9799
Phone (512) 799-5071
Other practice location 1
1406 6th Ave N
Saint Cloud, MN 56303-1900
Phone (320) 251-2700
Other practice location 2
50 Sherry Ave
Park Falls, WI 54552-1467
Phone (715) 762-7311
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@marshfieldclinichealthsystem.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MN, WI, MI, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1900 Columbus Ave
Bay City, MI 48708-6831
Phone (989) 894-3000
400 Maple Summit Rd
Jerseyville, IL 62052-2028
Phone (618) 498-6402
50 N Perry St
Pontiac, MI 48342-2217
Phone (248) 338-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301078020 | MI | MD | Emergency Medicine Physician |
| M5410 | TX | MD | Emergency Medicine Physician |
| 1614 | WI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Medical Group | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| MCHS Hospitals Inc | Emergency Medicine | Current | Accepting new patients |
| Victoria Emergency Partners LLC | Emergency Medicine | Current | Accepting new patients |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Memorial Hospital Inc | Current | Accepting new patients | |
| McLaren Medical Group | Emergency Medicine | Current | Accepting new patients |
| Jasper Emergency Medicine Associates PA | Emergency Medicine | Current | Accepting new patients |
| Victoria Emergency Associates LLC | Emergency Medicine | Current | Accepting new patients |
| Lone Star Emergency Associates LLC | Emergency Medicine | Current | Accepting new patients |
| Jefferson Emergency Medicine Associates PA | Emergency Medicine | Current | Accepting new patients |
| Sound Physicians Emergency Medicine of Texas PLLC | Emergency Medicine | Current | Accepting new patients |
| Acs Primary Care Physicians Southwest, PA | Emergency Medicine | Current | Accepting new patients |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Jersey Community Hospital | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Jersey Community Hospital | Current | Accepting new patients | |
| Jersey Community Hospital District | Current | Accepting new patients | |
| Southeast Emergency Medicine Associates, PA | Emergency Medicine | Current | Accepting new patients |
| Dickinson County Healthcare System | Current | Accepting new patients | |
| McLaren Hospital Group | Emergency Medicine | Current | Accepting new patients |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Travis County Emergency Physicians PA | Emergency Medicine | Current | Accepting new patients |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| McLaren Greater Lansing | Past | Accepting new patients |
Locations (25 of 45)
400 Maple Summit Rd
Jerseyville, IL 62052
Phone (618) 498-6402
1100 S Van Dyke Rd
Bad Axe, MI 48413
Phone (989) 269-9521
1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000
401 N Hooper St
Caro, MI 48723
Phone (517) 673-3141
5701 Bow Pointe Dr
Clarkston, MI 48346
Phone (248) 620-3376
39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880
2420 Owen Rd
Ste A
Fenton, MI 48430
Phone (810) 496-2460
401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000
6900 E Saginaw Hwy
Ste 100
Grand Ledge, MI 48837
Phone (517) 975-1100
1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415
2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500
1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500
1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700
385 N Lapeer Rd
Oxford, MI 48371
Phone (248) 628-2597
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
2110 S M 76
West Branch, MI 48661
Phone (989) 345-4884
7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305
2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000
1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845
2101 Pease St
Harlingen, TX 78550
Phone (956) 369-1100
2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779
1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951
2201 Clear Creek Rd
Killeen, TX 76549
Phone (254) 519-8185
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050
Interoperability endpoints
- him@marshfieldclinichealthsystem.cernerdirect.com
- jnimerick618389@direct.centracare.com
Organizations & group practices 29
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.
-
- Personal Emergency Response Attendant
- Jerseyville, IL
- NPI 1780609925
-
- Emergency Medicine Physician
- Flint, MI
- NPI 1942026174
-
- Emergency Medicine Physician
- Gainesville, TX
- NPI 1538101019
-
dba Marshfield Medical Center - Beaver Dam Professional Services
- Clinic/Center
- Beaver Dam, WI
- NPI 1972188555
-
dba Marshfield Medical Center - Dickinson Professional Services
- Emergency Medical Services (Emergency Medicine) Physician
- Iron Mountain, MI
- NPI 1891751186
-
dba MMC - Park Falls Outreach Services
- Clinic/Center
- Park Falls, WI
- NPI 1194317966
-
dba Marshfield Medical Center - Park Falls
- Critical Access Hospital
- Park Falls, WI
- NPI 1700963048
-
dba Marshfield Medical Center - Rice Lake Professional Services
- Clinic/Center
- Rice Lake, WI
- NPI 1093201832
-
- Emergency Medicine Physician
- Victoria, TX
- NPI 1457709040
-
dba Marshfield Clinic Florida Teleradiology/Telehealth
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
dba Marshfield Medical Center
- Clinic/Center
- Marshfield, WI
- NPI 1093221434
Emergency Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jerseyville, IL
- NPI 1184630519
-
- General Acute Care Hospital
- Bay City, MI
- NPI 1528031226
-
dba Detar Healthcare System
- General Acute Care Hospital
- Victoria, TX
- NPI 1851343909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717545600000",
"number": "1073622759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3082 WILLOW DR",
"city": "MEDINA",
"state": "MN",
"postal_code": "553409799",
"telephone_number": "512-799-5071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 MARKETPOINTE DR STE 100",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554355435",
"telephone_number": "952-835-9880",
"fax_number": "952-857-1554"
}
],
"practiceLocations": [
{
"address_1": "1406 6th Ave N",
"address_purpose": "LOCATION",
"city": "Saint Cloud",
"state": "MN",
"postal_code": "563031900",
"country_code": "US",
"telephone_number": "320-251-2700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "50 Sherry Ave",
"address_purpose": "LOCATION",
"city": "Park Falls",
"state": "WI",
"postal_code": "545521467",
"country_code": "US",
"telephone_number": "715-762-7311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIMERICK",
"first_name": "JENNIFER",
"middle_name": "RENE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301078020",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "M5410",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "1614",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "70378",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036168703",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
"affiliation": "N",
"address_1": "50 Sherry Ave",
"city": "Park Falls",
"state": "WI",
"country_code": "US",
"postal_code": "545521467",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.