Jill Nicole Lyle, CNP
Individual provider Active NPI Nurse Practitioner · Minneapolis, MN
NPI 1376788968 · NPPES record last updated Aug 29, 2023
Key facts
- NPI
- 1376788968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- CNP27 (MN)
- Practice address
- 2833 Chicago Ave
Minneapolis, MN 55407-1319 - Phone
- (612) 863-3333
- Fax
- (763) 577-7800
- NPI assigned
- Dec 10, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Key Corporation
Allina Health System
Practice addresses (Care Compare)
1394 Jackson St
Suite 201
Saint Paul, MN 55117-4630
Phone (612) 315-5866
2833 Chicago Ave
Minneapolis, MN 55407-1319
Phone (612) 863-3333
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090305000736 | MN | Practitioner - Nurse Practitioner | 2961568555 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP27 | MN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Current |
Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Allina Health System | Current |
Accepting new patients | |
| Group Health, Inc. | Current |
Accepting new patients | |
| Allina Health System | Current | Accepting new patients |
Locations
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
2833 Chicago Ave
Minneapolis, MN 55407
Phone (612) 863-3333
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600
8170 33rd Ave S
Minneapolis, MN 55425
Phone (952) 883-5463
2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813
401 Phalen Blvd
Saint Paul, MN 55130
Phone (651) 254-7870
Interoperability endpoints
- jlyle45828@excellian.direct.allina.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | CNP27 | MN | Yes |
Addresses
Primary practice location
2833 Chicago Ave
Minneapolis, MN 55407-1319
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-9000
Other names
- Jill Nicole Baertsch
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jlyle45828@excellian.direct.allina.com | Direct |
Other providers in Minneapolis, MN
- Kevin Ly
- Elisea Lynn Lybarger
- Allison Joan Lybeck
- Emmeanna Susan Lyda
- Emily Nkaujhli Lyfoung
- Lyn-Lake Psychotherapy and Wellness LTD.
- Lyn-Lake Psychotherapy and Wellness, LTD.
- David I Lynch-Salamon
- John William Lynch
- Julie Elizabeth Lynch
All providers in Minneapolis, MN · Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.