Jennifer Ann Fraik, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R1649965 Issued in MN

Practice address

1500 Birchmont Dr NE # 42
Bemidji, MN 56601-2699

Phone

(218) 755-2871

Fax

(218) 755-2750

NPI assigned

Jul 7, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Ann Carlson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Minnesota State Colleges and Universities

  • Clinic/Center
  • Bemidji, MN
  • NPI 1083881452
  NPD (past) Authorized official

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1619264942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 FROHN RD NE",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566017405",
            "telephone_number": "218-556-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 BIRCHMONT DR NE # 42",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566012699",
            "telephone_number": "218-755-2871",
            "fax_number": "218-755-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAIK",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R1649965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "CARLSON",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angela Krom Fournier, PH.D., L.P.
• Tiffany Renee Fowler
• Valerie Louise Fox, MD
• Deborrah E Frable, MD
• Heather Frach, MS, LADC, LPCC
• Sara A Fredrickson, OD
• Kim Marie Frenzel, LADC
• Chavvah Frick
• Jonathan Friedt, LMFT
• Katherine Friese, RN, CNP

• Family Nurse Practitioner in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.