Active NPI
Jennifer M Becker, APRN, CNP
- Family Nurse Practitioner
- Apple Valley, MN
National Provider Identifier
1447219274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1374939
- Practice address
- 15650 Cedar Ave
Apple Valley, MN 55124-7283 - Phone
- (952) 997-4100
- NPI assigned
- Mar 21, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R-137493-9 | MN | |
| Primary Care Nurse Practitioner | 363LP2300X | 1374939 | MN | |
| Family Nurse Practitioner | 363LF0000X | 1374939 | MN | Primary |
Addresses
Primary practice location
15650 Cedar Ave
Apple Valley, MN 55124-7283
Mailing address
520 White Pine Way
Eagan, MN 55123-4900
Phone (612) 247-1233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 519160200 | Medicaid | MN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Rowan University School of Osteopathic Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
15650 Cedar Ave
Apple Valley, MN 55124-7283
Phone (952) 997-4100
Hospital & facility affiliations
- Accentcare Fairview Home Health - West, LLC
- M Health Fairview Ridges Hospital
- M Health Fairview University of MN Medical Center
- M Health Fairview Southdale Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-137493-9 | MN | MD | Nurse Practitioner |
| 1374939 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Clinics | Past | Accepting new patients |
Locations
15650 Cedar Ave
Apple Valley, MN 55124
Phone (952) 997-4100
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
Interoperability endpoints
- jbecker916295@fairview.direct-ci.com
Organizations & group practices 4
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.
-
- Primary Care Clinic/Center
- Minneapolis, MN
- NPI 1346432218
-
- Clinic/Center
- Bloomington, MN
- NPI 1073890398
-
- Primary Care Clinic/Center
- Saint Paul, MN
- NPI 1396552147
-
- Multi-Specialty Clinic/Center
- Maple Grove, MN
- NPI 1841315165
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Saint Paul, MN
- NPI 1477169233
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- General Acute Care Hospital
- Burnsville, MN
- NPI 1225199128
-
- General Acute Care Hospital
- Burnsville, MN
- NPI 1245217520
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1316008212
-
- General Acute Care Hospital
- Edina, MN
- NPI 1699752915
-
- General Acute Care Hospital
- Edina, MN
- NPI 1932260833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715299200000",
"number": "1447219274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 WHITE PINE WAY",
"city": "EAGAN",
"state": "MN",
"postal_code": "551234900",
"telephone_number": "612-247-1233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15650 CEDAR AVE",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "551247283",
"telephone_number": "952-997-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "JENNIFER",
"middle_name": "M",
"credential": "APRN, CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-21",
"last_updated": "2024-05-10",
"certification_date": "2024-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "R-137493-9",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MN",
"license": "1374939",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "1374939",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "519160200",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Apple Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.