Jackie L Collins, CNP | |
2805 Campus Dr Ste 105, Plymouth, MN 55441-2677 | |
(763) 519-7440 | |
(763) 519-7445 |
Full Name | Jackie L Collins |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 28 Years |
Location | 2805 Campus Dr Ste 105, Plymouth, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023086568 | NPI | - | NPPES |
1032598 | Other | MN | PREFERREDONE |
151404 | Other | MN | UCARE MN |
737611100 | Medicaid | MN | |
404934900 | Medicaid | MD | |
41184100 | Medicaid | WI | |
0105787 | Other | MN | MEDICA |
67B81CO | Other | MN | BLUE CROSS BLUE SHIELD MN |
HP32641 | Other | MN | HEALTHPARTNERS |
1241627 | Other | MN | AMERICA'S PPO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R128366-4 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ridgeview Medical Center | Waconia, MN | Hospital |
Abbott Northwestern Hospital | Minneapolis, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Minnesota Oncology Hematology Pa | 6709799752 | 103 |
Entity Name | Minnesota Oncology Hematology Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528035995 PECOS PAC ID: 6709799752 Enrollment ID: O20031106000626 |
Entity Name | Carris Health Llc |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1134632680 PECOS PAC ID: 7012274228 Enrollment ID: O20180111000831 |
Mailing Address | Practice Location Address |
---|---|
Jackie L Collins, CNP 2550 University Ave W Ste 110n, Saint Paul, MN 55114-2001 Ph: (651) 602-5311 | Jackie L Collins, CNP 2805 Campus Dr Ste 105, Plymouth, MN 55441-2677 Ph: (763) 519-7440 |
Mrs. Ellie Flannery, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5046 Everest Ln N, Plymouth, MN 55446 Phone: 612-669-8725 | |
Khrystyna Antonova, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15552 57th Pl N, Plymouth, MN 55446 Phone: 612-481-1842 | |
Sarah Irene Hare, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4140 County Road 101 N, Plymouth, MN 55446 Phone: 763-478-4612 | |
Natalie Brandsrud, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18205 45th Ave N Ste C, Plymouth, MN 55446 Phone: 763-400-7828 | |
John M Rozman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15700 37th Ave N Ste 150, Plymouth, MN 55446 Phone: 651-968-5201 | |
Erica Barbosa De Souza, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 Magnolia Ln N, Plymouth, MN 55441 Phone: 763-744-7256 |