Active NPI
Jessica Karen Lennartson
- Certified Registered Nurse Anesthetist
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2096
- Practice address
- 2020 59TH St W
Bradenton, FL 34209-4604 - Phone
- (941) 792-6611
- Fax
- (404) 941-1282
- NPI assigned
- Oct 24, 2017
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2096 | MN | Primary |
Addresses
Primary practice location
2020 59TH St W
Bradenton, FL 34209-4604
Mailing address
7231 Minnewashta Pkwy
Excelsior, MN 55331-9668
Phone (952) 923-5888
Other practice location 1
800 E 28th St
Minneapolis, MN 55407-3723
Phone (612) 863-4000
Other practice location 2
800 E 28th St
Minneapolis, MN 55407-3723
Phone (612) 863-4000
Other names 1
- Jessica Karen Dirks
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 E 28TH St
Minneapolis, MN 55407-3723
Phone (612) 863-5370
Hospital & facility affiliations
- Ridgeview Medical Center
- Abbott Northwestern Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2096 | MN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Anesthesia Network, LLP | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University Anesthesia Providers, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients |
Locations
701 Dellwood St S
Cambridge, MN 55008
Phone (763) 689-7700
500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300
2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813
8100 W 78th St
Ste 220
Minneapolis, MN 55439
Phone (952) 914-8400
800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Plymouth, MN
- NPI 1558314427
Nurse Anesthetist, Certified Registered
-
- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
-
- Anesthesiology Physician
- Minneapolis, MN
- NPI 1699711143
Nurse Anesthetist, Certified Registered
-
- Oncology Clinic/Center
- Lakeville, MN
- NPI 1427884972
-
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
Hospital & facility affiliations 25
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": "1508803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658275200000",
"number": "1730690264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7231 MINNEWASHTA PKWY",
"city": "EXCELSIOR",
"state": "MN",
"postal_code": "553319668",
"telephone_number": "952-923-5888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 59TH ST W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342094604",
"telephone_number": "941-792-6611",
"fax_number": "404-941-1282"
}
],
"practiceLocations": [
{
"address_1": "800 E 28th St",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554073723",
"country_code": "US",
"telephone_number": "612-863-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 E 28th St",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554073723",
"country_code": "US",
"telephone_number": "612-863-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LENNARTSON",
"first_name": "JESSICA",
"middle_name": "KAREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-24",
"last_updated": "2022-07-20",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "2096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "DIRKS",
"middle_name": "KAREN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.