Active NPI
Jenikka Lee Tomashek, FNP-BC
- Family Nurse Practitioner
- Plymouth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2010006141
- Practice address
- 2805 Campus Dr Ste 115
Plymouth, MN 55441-2677 - Phone
- (763) 577-7800
- Fax
- (763) 577-7855
- NPI assigned
- Sep 29, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | R179785-9 | MN | |
| Family Nurse Practitioner | 363LF0000X | 2010006141 | MN | Primary |
Addresses
Primary practice location
2805 Campus Dr Ste 115
Plymouth, MN 55441-2677
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-9000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jsoyring144920@excellian.direct.allina.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Allina Health System
Practice addresses (Care Compare)
440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R179785-9 | MN | MD | Emergency Medicine Physician |
| 2010006141 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Infinite Health Collaborative, PA | Past | Accepting new patients | |
| Allina Health System | Past | Accepting new patients | |
| Ecc Addiction & Toxicology Services LLC | Past | Accepting new patients | |
| Allina Health System | Past | Accepting new patients |
Locations
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
6545 France Ave S
Ste 150
Edina, MN 55435
Phone (952) 848-5600
8290 University Ave NE
Ste 200
Fridley, MN 55432
Phone (763) 786-9543
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813
800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547
5366 386th St NE
North Branch, MN 55056
Phone (651) 674-6800
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
333 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-8256
Interoperability endpoints
- jtomashek331908@fairview.direct-ci.com
- jsoyring144920@excellian.direct.allina.com
Organizations & group practices 16
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.
-
- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
-
- Family Medicine Physician
- Annandale, MN
- NPI 1457657249
-
- Primary Care Clinic/Center
- Minneapolis, MN
- NPI 1346432218
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
- Family Medicine Physician
- Woodbury, MN
- NPI 1902102353
-
- Neonatal Intensive Care Registered Nurse
- St Paul, MN
- NPI 1942711775
-
- Primary Care Clinic/Center
- Rush City, MN
- NPI 1295989457
-
- Primary Care Clinic/Center
- Prior Lake, MN
- NPI 1568654341
-
- Multi-Specialty Clinic/Center
- Blaine, MN
- NPI 1417277294
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675036800000",
"number": "1992014682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2925 CHICAGO AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071321",
"telephone_number": "612-262-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2805 CAMPUS DR STE 115",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554412677",
"telephone_number": "763-577-7800",
"fax_number": "763-577-7855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMASHEK",
"first_name": "JENIKKA",
"middle_name": "LEE",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-29",
"last_updated": "2023-01-30",
"certification_date": "2023-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "R179785-9",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "2010006141",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jsoyring144920@excellian.direct.allina.com",
"affiliation": "N",
"endpointDescription": "CDA/PDF/TXT",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/PDF/TXT",
"address_1": "2805 Campus Dr Ste 115",
"city": "Plymouth",
"state": "MN",
"country_code": "US",
"postal_code": "554412677",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.