Individual provider Active NPI

Jennifer Lynn Laframboise, FNP

  • Nurse Practitioner
  • Grand Forks, ND
National Provider Identifier
1336494574
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R31945 Issued in ND
Practice address
4551 S Washington St
Grand Forks, ND 58201-3495
Phone
(701) 757-7736
Fax
(701) 757-0496
NPI assigned
Jul 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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 R31945 ND Primary

Addresses

Primary practice location

4551 S Washington St
Grand Forks, ND 58201-3495

Mailing address

4551 S Washington St
Grand Forks, ND 58201-3495
Phone (701) 780-5000

Other names 1

  • Jennifer Lynn Bukowski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20121113000443 ND Practitioner - Nurse Practitioner 1254582695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total Skin Dermatology and AestheticsGroup PAC ID 6800229519, 3 clinicians

Practice addresses (Care Compare)

4571 S Washington St
Suite N
Grand Forks, ND 58201-7270
Phone (701) 757-3376

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Total Skin Dermatology & Aesthetics Nurse Practitioner CurrentSince Aug 22, 2019 Accepting new patients
Clinic Pharmacy Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

806 10th St SE
Devils Lake, ND 58301
Phone (701) 544-2004

3620 Veterans Blvd S
Ste 160
Fargo, ND 58104
Phone (401) 951-8660

4571 S Washington St
Ste N
Grand Forks, ND 58201
Phone (701) 757-3376

4551 S Washington St
Grand Forks, ND 58201
Phone (218) 791-6660

Interoperability endpoints

  • Direct secure messaging: jenn@totalskinnd.emadirect.md

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1336494574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4551 S WASHINGTON ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582013495",
            "telephone_number": "701-780-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4551 S WASHINGTON ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582013495",
            "telephone_number": "701-757-7736",
            "fax_number": "701-757-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFRAMBOISE",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-13",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ND",
            "license": "R31945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BUKOWSKI",
            "middle_name": "LYNN",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Forks, ND

Sources for this page

Verify at the official NPI Registry.