Individual provider Active NPI

Vincent Jigbeh Jaryan, CNP

  • Psychiatry Physician
  • Richfield, MN
National Provider Identifier
1114807104
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
13327 Issued in MN
Practice address
7400 Lyndale Ave S Ste 120
Richfield, MN 55423-4055
Phone
(612) 433-6177
NPI assigned
Sep 3, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 13327 MN Primary

Addresses

Primary practice location

7400 Lyndale Ave S Ste 120
Richfield, MN 55423-4055

Mailing address

7400 Lyndale Ave S Ste 120
Richfield, MN 55423-4055
Phone (612) 433-6177

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
I20260127003489 MN Practitioner - Nurse Practitioner 7214415728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Transformation House IncGroup PAC ID 1850750696, 5 clinicians

Practice addresses (Care Compare)

1410 S Ferry Rd
Anoka, MN 55303-2164
Phone (763) 427-7155

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Transformation House Inc CurrentSince Feb 1, 2026 Accepting new patients

Locations

1410 S Ferry Rd
Anoka, MN 55303
Phone (763) 427-7155

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1114807104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 LYNDALE AVE S STE 120",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554234055",
            "telephone_number": "612-433-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 LYNDALE AVE S STE 120",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554234055",
            "telephone_number": "612-433-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARYAN",
        "first_name": "VINCENT",
        "middle_name": "JIGBEH",
        "name_prefix": "Mr.",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "13327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richfield, MN

Sources for this page

Verify at the official NPI Registry.