Jane Marie Sulzle, APRN, CNS, DNP

Primary specialty

Child & Adolescent Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0807X

License

R095418-5 Issued in MN

Practice address

675 E Nicollet Blvd Ste 250
Burnsville, MN 55337

Phone

(952) 993-3307

NPI assigned

Sep 20, 2006

Last updated

Aug 14, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nystrom & Associates, LTD

  dba Sagent Behavioral Health

  • Clinical Social Worker
  • New Brighton, MN
  • NPI 1396750188
  NPD
• Park Nicollet Clinic

  • Family Medicine Physician
  • St Louis Park, MN
  • NPI 1063897593
  NPD
• Park Nicollet Clinic

  • Family Medicine Physician
  • St Louis Park, MN
  • NPI 1780621904
  NPD
• Family Support Services Inc.

  dba Sagent Behavioral Health

  • Mental Health Counselor
  • New Brighton, MN
  • NPI 1467549220
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1497852313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 E NICOLLET BLVD STE 250",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376768",
            "telephone_number": "952-993-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 E NICOLLET BLVD STE 250",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "55337",
            "telephone_number": "952-993-3307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6458 City West Pkwy",
            "address_purpose": "LOCATION",
            "city": "Eden Prairie",
            "state": "MN",
            "postal_code": "553443245",
            "country_code": "US",
            "telephone_number": "952-737-6278",
            "fax_number": "612-767-1237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6545 France Ave S",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554352131",
            "country_code": "US",
            "telephone_number": "952-230-9100",
            "fax_number": "952-544-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULZLE",
        "first_name": "JANE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "APRN, CNS, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "MN",
            "license": "CNS0224",
            "primary": false
        },
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "MN",
            "license": "R095418-5",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amina Okashe Sugule
• Suite Living Senior Care of Burnsville
• Hamsa Ahmed Suleiman
• Eleanor Sullivan
• McKenna Sullivan
• Summit Orthopedics, LTD.
• Gregory Charles-Sveda Sumner, OTR/L
• Amanda Marie Suncire-Nerison, LICSW
• Sunny S. Kim, MD PA (Inspired Spine Health / Tristate Brain & Spine Institute)
• Sunny S. Kim, MD PA (Inspired Spine Health)

• Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.