Jennifer Michelle Vanhorn
Individual provider Active NPI Women's Health Nurse Practitioner · Maple Grove, MN
NPI 1760191944 · NPPES record last updated Nov 16, 2022
Key facts
- NPI
- 1760191944
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Women's Health Nurse Practitioner 363LW0102X
- License
- 9742 (MN)
- Practice address
- 14500 99TH Ave N
Maple Grove, MN 55369-4730 - Phone
- (736) 898-1000
- NPI assigned
- Nov 16, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 24
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Minnesota Medical School, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Brainerd Medical Center Inc
St Josephs Medical Center
Practice addresses (Care Compare)
13060 Isle Dr
Baxter, MN 56425-8331
Phone (218) 454-5935
2024 S 6TH St
Brainerd, MN 56401-4529
Phone (218) 828-7100
Hospital & facility affiliations
- Essentia Health St Joseph'S Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230418001515 | MN | Practitioner - Nurse Practitioner | 6002281300 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9742 | MN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Joseph'S Medical Center | Current |
Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Express Care | Current |
Accepting new patients | |
| Brainerd Medical Center Inc | Current |
Accepting new patients | |
| Healtheast Medical Research Institute | Current |
Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| St. Joseph'S Medical Center | Current |
Accepting new patients | |
| Fairview Clinics | Current |
Accepting new patients | |
| Fairview Clinics | Current |
Accepting new patients | |
| Fairview Express Care | Current |
Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| St. Joseph'S Medical Center | Current | Accepting new patients | |
| Fairview Health Services | Current |
Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Brainerd Medical Center Inc. | Current |
Accepting new patients | |
| Brainerd Medical Center Inc | Past | Accepting new patients |
Locations
523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394
2024 S 6th St
Brainerd, MN 56401
Phone (218) 828-2880
13060 Isle Dr
Brainerd, MN 56425
Phone (218) 454-5920
24087 Cuyuna St
Deerwood, MN 56444
Phone (218) 833-5160
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
20918 County Road 1
Emily, MN 56447
Phone (218) 763-4800
14500 99th Ave N
Maple Grove, MN 55369
Phone (763) 898-1000
14500 99th Ave N
Ste 100
Maple Grove, MN 55369
Phone (763) 898-1000
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
280 Barclay Ave W
Pine River, MN 56474
Phone (218) 587-3222
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 9742 | MN | Yes |
Addresses
Primary practice location
14500 99TH Ave N
Maple Grove, MN 55369-4730
Mailing address
17502 Lake Allen Dr
Brainerd, MN 56401-7990
Phone (218) 838-5541
Other providers in Maple Grove, MN
- Melanie Vang
- Melissa Vang
- Meloni Kabao Vang
- Oceana Kalia Vang
- Shena Vang
- Vanessa Vasquez Cerrito
- Venetia Laganis, DDS, PA
- Sarah Nicole Olson Venning
- Alissa S Ventura
- Tanner Jesus Verduzco
All providers in Maple Grove, MN · Women's Health Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.