Active NPI
Jill Titze, NP
- Adult Health Nurse Practitioner
- Crystal, MN
National Provider Identifier
1487969820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- CNP 3022
- Practice address
- 5200 Douglas Dr N
Crystal, MN 55429-3104 - Phone
- (763) 400-3628
- Fax
- (763) 342-4183
- NPI assigned
- Aug 10, 2010
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | CNP 3022 | MN | Primary |
Addresses
Primary practice location
5200 Douglas Dr N
Crystal, MN 55429-3104
Mailing address
3500 France Ave N Ste 200
Robbinsdale, MN 55422-2809
Phone (763) 581-5678
Other practice location 1
3500 France Ave N Ste 200
Robbinsdale, MN 55422-2809
Phone (763) 581-5678
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jill.titze@499749571198980.direct.elationemr.com | Direct | Herself Health MN PC |
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
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5200 Douglas Dr N
Crystal, MN 55429-3104
Phone (763) 400-3628
Hospital & facility affiliations
- North Memorial Health Hospital
- Abbott Northwestern Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.25 of 100
- Quality
- 60.43
- Promoting interoperability
- 83
- Improvement activities
- 40
- Cost
- 79.28
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.23 of 100
- Quality
- 80.41
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP 3022 | MN | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Herself Health MN PC | Current | Accepting new patients | |
| Lifespark Medical Group, PA | Adult Health | Current | Accepting new patients |
Locations
5200 Douglas Dr N
Minneapolis, MN 55429
Phone (763) 400-3628
2004 Ford Pkwy
Saint Paul, MN 55116
Phone (612) 256-8225
2000 Rahncliff Ct
Ste 400
Saint Paul, MN 55122
Phone (888) 290-1209
5320 W 23rd St
Ste 130
St Louis Park, MN 55416
Phone (952) 345-3213
Interoperability endpoints
- https://api.platform.athenahealth.com/31254/brand/1/csg/1/fhir/r4
- jill.titze.1@31254.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Saint Paul, MN
- NPI 1326775420
-
- Geriatric Medicine (Family Medicine) Physician
- St Louis Park, MN
- NPI 1427551746
Adult Health
Hospital & facility affiliations 27
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obesity Medicine (Family Medicine) Physician
- Minneapolis, MN
- NPI 1154684835
Hospital
-
- Physical Medicine & Rehabilitation Physician
- Minneapolis, MN
- NPI 1275577215
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702857600000",
"number": "1487969820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 FRANCE AVE N STE 200",
"city": "ROBBINSDALE",
"state": "MN",
"postal_code": "554222809",
"telephone_number": "763-581-5678",
"fax_number": "763-581-9401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 DOUGLAS DR N",
"city": "CRYSTAL",
"state": "MN",
"postal_code": "554293104",
"telephone_number": "763-400-3628",
"fax_number": "763-342-4183"
}
],
"practiceLocations": [
{
"address_1": "3500 France Ave N Ste 200",
"address_purpose": "LOCATION",
"city": "Robbinsdale",
"state": "MN",
"postal_code": "554222809",
"country_code": "US",
"telephone_number": "763-581-5678",
"fax_number": "763-581-9401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TITZE",
"first_name": "JILL",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-10",
"last_updated": "2023-12-18",
"certification_date": "2023-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MN",
"license": "CNP 3022",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jill.titze@499749571198980.direct.elationemr.com",
"affiliation": "Y",
"affiliationName": "Herself Health MN PC",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "5200 Douglas Dr N",
"city": "Crystal",
"state": "MN",
"country_code": "US",
"postal_code": "554293104",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Crystal, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.