Individual provider Active NPI

Jean Vaneps, CNP

  • Clinical Nurse Specialist
  • Grand Rapids, MN
National Provider Identifier
1942642681
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
R951803 Issued in MN
Practice address
502 SE 10TH St
Grand Rapids, MN 55744-3921
Phone
(218) 246-6286
Fax
(218) 249-1534
NPI assigned
Jul 23, 2013
Last updated
Nov 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X R951803 MN Primary

Addresses

Primary practice location

502 SE 10TH St
Grand Rapids, MN 55744-3921

Mailing address

PO Box 680
Deer River, MN 56636-0680
Phone (218) 624-6562

Other names 1

  • Jean Anderson Former name

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
I20170417000239 MN Practitioner - Nurse Practitioner 4587806013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1200 S Pokegama Ave
Suite 160
Grand Rapids, MN 55744-4296
Phone (218) 246-6286

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R951803MNMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Psychiatry Services, LTD. CurrentSince Jan 29, 2017 Accepting new patients

Locations

708 Division St
Deer River, MN 56636
Phone (218) 246-6286

1200 S Pokegama Ave
Ste 160
Grand Rapids, MN 55744
Phone (218) 246-6286

502 SE 10th St
Grand Rapids, MN 55744
Phone (218) 246-6286

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, 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": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1942642681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 680",
            "city": "DEER RIVER",
            "state": "MN",
            "postal_code": "566360680",
            "telephone_number": "218-624-6562",
            "fax_number": "218-249-1534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 SE 10TH ST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443921",
            "telephone_number": "218-246-6286",
            "fax_number": "218-249-1534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANEPS",
        "first_name": "JEAN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-23",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "MN",
            "license": "R951803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN",
            "last_name": "ANDERSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Rapids, MN

Sources for this page

Verify at the official NPI Registry.