Connie Jaenicke, NP in Burnsville, MN - Medicare Nurse Practitioner

Connie Jaenicke, NP is a medicare enrolled "Nurse Practitioner" in Burnsville, Minnesota. Her current practice location is 14000 Fairview Dr, Burnsville, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 993-8700.

Connie Jaenicke is licensed to practice in Minnesota (license number CNP1484) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1508875063.

Contact Information

	Connie Jaenicke, NP
	14000 Fairview Dr, Burnsville, MN 55337-5713
	(952) 993-8700
	Not Available

Map and Direction

Provider's Profile

Full Name	Connie Jaenicke
Gender	Female
Speciality	Nurse Practitioner
Location	14000 Fairview Dr, Burnsville, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508875063
Provider Enumeration Date: 08/05/2006
Last Update Date: 08/31/2023

Medicare PECOS Information:

PECOS PAC ID: 8426487000
Enrollment ID: I20230914002086

Medical Identifiers

Medical identifiers for Connie Jaenicke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508875063	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	142515-0 (Minnesota)	Secondary
363L00000X	Nurse Practitioner	CNP1484 (Minnesota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Connie Jaenicke allows following entities to bill medicare on her behalf.

Entity Name	Park Nicollet Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Connie Jaenicke is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Connie Jaenicke, NP 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () -	Connie Jaenicke, NP 14000 Fairview Dr, Burnsville, MN 55337-5713 Ph: (952) 993-8700

Reviews and Comments

Nurse Practitioner Nurses in Burnsville, MN

Jeremy Leclaire, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 E Nicollet Blvd, Burnsville, MN 55337 Phone: 952-460-4000
Chara J Anderson, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 675 E Nicollet Blvd Ste 100, Burnsville, MN 55337 Phone: 952-892-7190 Fax: 952-892-7956
Michelle L Paulsen, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 675 E Nicollet Blvd Ste 100, Burnsville, MN 55337 Phone: 952-892-7190 Fax: 952-892-7956
Rebecca Suess, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13903 Aldrich Ave S, Burnsville, MN 55337 Phone: 952-479-0603
Ms. Therese Mary Maas, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14551 County Road 11 Ste 100, Burnsville, MN 55337 Phone: 952-841-2345 Fax: 952-841-2346
Sherri Fuller, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 E Nicollet Blvd, Suite 200, Burnsville, MN 55337 Phone: 952-460-4000 Fax: 952-460-4000
Dr. Pennie Elizabeth Bucilla, APRN CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 Mcandrews Rd W, Burnsville, MN 55337 Phone: 952-892-9393 Fax: 952-800-8892

Connie Jaenicke, NP - Medicare Nurse Practitioner in Burnsville, MN