Dr Jennifer Bryan, CNP - Medicare Nurse Practitioner in Prior Lake, MN

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Dr Jennifer Bryan, CNP is a medicare enrolled "Nurse Practitioner - Family" in Prior Lake, Minnesota. Her current practice location is 4670 Park Nicollet Ave Se, Prior Lake, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 993-7750.

Dr Jennifer Bryan is licensed to practice in Minnesota (license number 9569) 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 1770207946.

Contact Information

Dr Jennifer Bryan, CNP
4670 Park Nicollet Ave Se,
Prior Lake, MN 55372-4119
(952) 993-7750
(952) 993-7835

Map and Direction




Provider's Profile

Full NameDr Jennifer Bryan
GenderFemale
SpecialityNurse Practitioner - Family
Location4670 Park Nicollet Ave Se, Prior Lake, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770207946
  • Provider Enumeration Date: 09/30/2022
  • Last Update Date: 07/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0446628739
  • Enrollment ID: I20221117000519

Medical Identifiers

Medical identifiers for Dr Jennifer Bryan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770207946NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 9569 (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. Dr Jennifer Bryan allows following entities to bill medicare on her behalf.
Entity NamePark Nicollet Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046
Entity NameElite Patient Care Of Minnesota Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083365084
PECOS PAC ID: 6305233461
Enrollment ID: O20220420002125

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. Dr Jennifer Bryan 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 AddressPractice Location Address
Dr Jennifer Bryan, CNP
8170 33rd Ave S # Ms 21110q,
Bloomington, MN 55425-4516

Ph: () -		Dr Jennifer Bryan, CNP
4670 Park Nicollet Ave Se,
Prior Lake, MN 55372-4119

Ph: (952) 993-7750

Reviews and Comments


Nurse Practitioner Nurses in Prior Lake, MN

Mrs. Helen Jane Peterson, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2300 Sioux Trl Nw, Prior Lake, MN 55372
Phone: 952-233-4214    
Mrs. Amy Larson, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4151 Willowwood St Se, Prior Lake, MN 55372
Phone: 952-226-2600    
Sharon Moore,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4670 Park Nicollet Ave Se, Prior Lake, MN 55372
Phone: 952-993-7750    
Theresa Rae Reese, APRN, PNP-PC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3381 Spring Glen Cir Nw, Prior Lake, MN 55372
Phone: 651-434-9753    
Janelle Clara Meixl, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4151 Willowwood St Se, Prior Lake, MN 55372
Phone: 952-226-2600    
Ms. Melanie J Dunlap, CFNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4670 Park Nicollet Ave Se, Prior Lake, MN 55372
Phone: 952-993-7750    Fax: 952-993-8820

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.