Active NPI
Jessica Rae Fabie, DNP
- Registered Nurse
- Eden Prairie, MN
National Provider Identifier
1447004999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 2466383
- Practice address
- 8602 Zachman Cir
Eden Prairie, MN 55344-3901 - Phone
- (763) 227-2068
- NPI assigned
- Apr 12, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2466383 | MN | Primary |
Addresses
Primary practice location
8602 Zachman Cir
Eden Prairie, MN 55344-3901
Mailing address
8602 Zachman Cir
Eden Prairie, MN 55344-3901
Phone (763) 227-2068
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 9, 2025 through Apr 9, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2466383 | MN | MD | Registered Nurse |
| 11866 | MN | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712880000000",
"number": "1447004999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8602 ZACHMAN CIR",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553443901",
"telephone_number": "763-227-2068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8602 ZACHMAN CIR",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553443901",
"telephone_number": "763-227-2068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FABIE",
"first_name": "JESSICA",
"middle_name": "RAE",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-12",
"last_updated": "2024-04-12",
"certification_date": "2024-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "2466383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.