NPIMap

Individual provider Active NPI

Jennifer L Mears, RN, CNP

  • Family Nurse Practitioner
  • St Louis Park, MN
National Provider Identifier
1861471666
Registry record updated Jun 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R 144789-5 Issued in MN
Practice address
5525 Cedar Lake Rd S
St Louis Park, MN 55416-1420
Phone
(952) 541-7157
Fax
(952) 544-0587
NPI assigned
Jan 11, 2006
Last updated
Jun 6, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R 144789-5 MN Primary

Addresses

Primary practice location

5525 Cedar Lake Rd S
St Louis Park, MN 55416-1420

Mailing address

5525 Cedar Lake Rd S
St Louis Park, MN 55416-1420
Phone (952) 541-7157

Other identifiers 1

IdentifierTypeStateIssuer
450680400MedicaidMN

Other names 1

  • Jennifer L Collier Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090421000714 MN Practitioner - Nurse Practitioner 8224185640 Reassigns benefits to 5 organizations
I20211103001552 WI Practitioner - Nurse Practitioner 8224185640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Missouri, Columbia School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Nephrology Consultants PAGroup PAC ID 7214004068, 15 clinicians
St. Croix Regional Medical CenterGroup PAC ID 9335032184, 131 clinicians

Practice addresses (Care Compare)

1700 University Ave W
FL 1
Saint Paul, MN 55104-3727
Phone (651) 232-2002

1997 Sloan PL
Suite 17
Maplewood, MN 55117-2051
Phone (651) 772-3251

205 Oak St W
Frederic, WI 54837-8953
Phone (715) 327-5700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healtheast Care System CurrentSince May 1, 2021 Accepting new patients
St. Croix Regional Medical Center CurrentSince Feb 1, 2025 Accepting new patients
Associated Nephrology Consultants, P.a. CurrentSince Sep 1, 2015 Accepting new patients
Healtheast St. John's Hospital CurrentSince May 1, 2021 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
St. Croix Regional Medical Center CurrentSince Feb 1, 2025 Accepting new patients
Fairview Bethesda Hospital CurrentSince May 1, 2021 Accepting new patients
Healtheast Medical Research Institute CurrentSince May 1, 2021 Accepting new patients
Healtheast Medical Research Institute CurrentSince May 1, 2021 Accepting new patients
Healtheast Woodwinds Hospital CurrentSince May 1, 2021 Accepting new patients
St. Croix Regional Medical Center Past Accepting new patients

Locations

2945 Hazelwood St
Ste 110
Maplewood, MN 55109

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

559 Capitol Blvd
Saint Paul, MN 55103
Phone (651) 232-2000

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002

69 Exchange St W
Saint Paul, MN 55102
Phone (651) 232-1100

2854 Highway 55
Ste 130
Saint Paul, MN 55121
Phone (651) 224-4930

333 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-8256

1997 Sloan Pl
Ste 17
Saint Paul, MN 55117
Phone (651) 772-6251

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

205 Oak St W
Frederic, WI 54837
Phone (715) 327-5700

235 E State St
St Croix Fls, WI 54024
Phone (715) 483-3221

216 S Adams St
St Croix Fls, WI 54024
Phone (715) 483-0426

744 E Louisiana St
St Croix Fls, WI 54024
Phone (651) 772-6251

26425 Lakeland Ave S
Webster, WI 54893
Phone (715) 866-4271

Interoperability endpoints

  • Direct secure messaging: jmears91967@excellian.direct.allina.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/3y297hHso-SAgtaVMIScpv67gSH7SYy3/
  • Direct secure messaging: jmears44909@direct.davitaphysiciansolutions.com

Organizations & group practices 11

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.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402012800000",
    "number": "1861471666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 CEDAR LAKE RD S",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161420",
            "telephone_number": "952-541-7157",
            "fax_number": "952-544-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 CEDAR LAKE RD S",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161420",
            "telephone_number": "952-541-7157",
            "fax_number": "952-544-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEARS",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "RN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2014-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R 144789-5",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "450680400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "COLLIER",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St Louis Park, MN

Sources for this page

Verify at the official NPI Registry.