NPIMap

Individual provider Active NPI

Jennifer Dart, RN, CNP

  • Gerontology Nurse Practitioner
  • Minnetonka, MN
National Provider Identifier
1376567404
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
R162523-5 Issued in MN
Practice address
9701 Data Park
Mn006-W600
Minnetonka, MN 55343-9026
Phone
(800) 896-8936
Fax
(888) 866-3209
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 7

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 27

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

View all 27

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of Minnesota PLLC 62 clinicians
Lifespark Medical Group PA 19 clinicians

Practice addresses (Care Compare)

5123 W 98TH St
Suite 2082
Minneapolis, MN 55437-2040
Phone (737) 226-6700

5320 W 23Rd St
Suite 130
St Louis Park, MN 55416-1670
Phone (952) 345-3213

Hospital & facility affiliations

  • Lifespark Home Health Home health agency, Saint Louis Park, MN, CCN 248118
  • M Health Fairview University of MN Medical Center Hospital, Minneapolis, MN, CCN 240080
  • Abbott Northwestern Hospital Hospital, Minneapolis, MN, CCN 240057

Merit-based Incentive Payment System (MIPS)

Final score
87.25 of 100Reported as group
Quality
60.43
Promoting interoperability
83
Improvement activities
40
Cost
79.28

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041124000561 MN Practitioner - Nurse Practitioner 3375508757 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1944MNMDOptometrist
R162523-5MNMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespark Medical Group, PA Gerontology CurrentSince Feb 4, 2024 Accepting new patients
CH Specialty Services MN PC CurrentSince Jan 1, 2026 Accepting new patients
Spark Medical Providers PA CurrentSince Oct 2, 2025 Accepting new patients
Curana Health of Minnesota PLLC CurrentSince Jan 1, 2026 Accepting new patients
Allina Health System Past Accepting new patients
Evercare Collaborative Solutions Inc Past Accepting new patients
United Healthcare Services, Inc Past Accepting new patients

Locations

5123 W 98th St
Minneapolis, MN 55437
Phone (312) 961-4490

5320 W 23rd St
Ste 130
St Louis Park, MN 55416
Phone (952) 345-3213

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jennifer.dart.1@15699.direct.athenahealth.com
  • Direct secure messaging: jennifer.dart.1@17901.direct.athenahealth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X R162523-5 MN Primary

Addresses

NPPES NPI Registry

Primary practice location

9701 Data Park
Mn006-W600
Minnetonka, MN 55343-9026

Mailing address

3433 Broadway St NE
Ste 300
Minneapolis, MN 55413-1761
Phone (763) 587-7737

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
4400003-00MedicaidMN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 20, 2019.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1376567404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 BROADWAY ST NE",
            "address_2": "STE 300",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131761",
            "telephone_number": "763-587-7737",
            "fax_number": "763-587-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 DATA PARK",
            "address_2": "MN006-W600",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439026",
            "telephone_number": "800-896-8936",
            "fax_number": "888-866-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DART",
        "first_name": "JENNIFER",
        "credential": "RN, CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MN",
            "license": "R162523-5",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4400003-00",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

Verify at the official NPI Registry.