Active NPI
Jean E Paurus, CNP
- Family Nurse Practitioner
- Woodbury, MN
National Provider Identifier
1821045998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2005005658
- Practice address
- 8450 Seasons Pkwy
Healthpartners Woodbury Urgent Care
Woodbury, MN 55125-4402 - Phone
- (952) 853-8800
- Fax
- (651) 702-5305
- NPI assigned
- May 27, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2005005658 | MN | Primary |
Addresses
Primary practice location
8450 Seasons Pkwy
Healthpartners Woodbury Urgent Care
Woodbury, MN 55125-4402
Mailing address
8170 33Rd Ave S
Ms21110Q
Minneapolis, MN 55425-4516
Phone (952) 883-5375
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01-21532 | Other | MN | MEDICA |
| 096626600 | Medicaid | MN | |
| 700G4PA | Other | MN | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005005658 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hennepin County | Past | Accepting new patients |
Organizations & group practices 1
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.
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- Minneapolis, MN
- NPI 1780790345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323216000000",
"number": "1821045998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8170 33RD AVE S",
"address_2": "MS21110Q",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554254516",
"telephone_number": "952-883-5375",
"fax_number": "651-702-5305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8450 SEASONS PKWY",
"address_2": "HEALTHPARTNERS WOODBURY URGENT CARE",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551254402",
"telephone_number": "952-853-8800",
"fax_number": "651-702-5305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAURUS",
"first_name": "JEAN",
"middle_name": "E",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-27",
"last_updated": "2011-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "2005005658",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "01-21532",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "096626600",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "700G4PA",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.