Jill E Pagenkopf, NNP

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

R095696-3 Issued in MN

Practice address

1655 Beam Ave
Suite 302
Maplewood, MN 55109-1163

Phone

(651) 232-7831

Fax

(651) 232-7826

NPI assigned

Apr 4, 2006

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

• Jill E Pitts Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1730141946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14620 BISCAYNE WAY W",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550683138",
            "telephone_number": "651-423-5386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 BEAM AVE",
            "address_2": "SUITE 302",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091163",
            "telephone_number": "651-232-7831",
            "fax_number": "651-232-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGENKOPF",
        "first_name": "JILL",
        "middle_name": "E",
        "credential": "NNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "MN",
            "license": "R095696-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "PITTS",
            "middle_name": "E",
            "credential": "NNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Charles F. Ormiston, M.D.
• Christopher E Ott, MD
• Alec David Otteman, M.D.
• Outcomes, Inc.
• Oreoluwa Temilade Oye, NP
• Elizabeth Dalstrom Pai, MD
• Madison L Palmer, PA-C
• Lucy Palomino, MD
• Jane Hsiaochen Pan, SPEECH LANGUAGE PATH
• Mary J. Pariseau, DDS

• Neonatal Nurse Practitioner in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Neonatal Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.