Individual provider Active NPI

Jaimie Abeler, CNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Woodbury, MN
National Provider Identifier
1861152696
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
8736 Issued in MN
Practice address
1687 Woodlane Dr Ste 102
Woodbury, MN 55125-3046
Phone
(651) 600-3035
NPI assigned
Dec 20, 2021
Last updated
Dec 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 8736 MN
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 8736 MN Primary

Addresses

Primary practice location

1687 Woodlane Dr Ste 102
Woodbury, MN 55125-3046

Mailing address

11239 49TH Ave N
Plymouth, MN 55442-2293
Phone (763) 528-0802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220110001056 MN Practitioner - Nurse Practitioner 5092107730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minnesota Womens Care PAGroup PAC ID 9638329394, 44 clinicians

Practice addresses (Care Compare)

1687 Woodlane Dr
Suite 101
Woodbury, MN 55125-3046
Phone (651) 600-3035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
8736MNMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Women's Care, P.a. CurrentSince Jan 15, 2022 Accepting new patients
Comprehensive Healthcare for Women, PA CurrentSince Jan 15, 2022 Accepting new patients
St Paul Allergy & Asthma Clinic P.a. PastSince Dec 26, 2021 Accepting new patients

Locations

2603 White Bear Ave N
Saint Paul, MN 55109
Phone (651) 209-8125

1687 Woodlane Dr
Woodbury, MN 55125
Phone (651) 209-6685

1687 Woodlane Dr
Ste 101
Woodbury, MN 55125
Phone (651) 209-6263

1687 Woodlane Dr
Ste 102
Woodbury, MN 55125
Phone (651) 209-6685

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJBIAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/FAHCDA
  • Direct secure messaging: jaimie.abeler@mwc.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1861152696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11239 49TH AVE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554422293",
            "telephone_number": "763-528-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1687 WOODLANE DR STE 102",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253046",
            "telephone_number": "651-600-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABELER",
        "first_name": "JAIMIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MN",
            "license": "8736",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MN",
            "license": "8736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

Verify at the official NPI Registry.