Janet M Siciliano, NP | |
11269 Jefferson Hwy N, Champlin, MN 55316-3123 | |
(612) 427-9620 | |
(612) 247-9626 |
Full Name | Janet M Siciliano |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 30 Years |
Location | 11269 Jefferson Hwy N, Champlin, 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 |
---|---|---|---|
1598722308 | NPI | - | NPPES |
656238800 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R 125575-7 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital | Coon rapids, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Allina Health System | 4587573613 | 3101 |
Entity Name | Allina Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
Entity Name | Allina Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
Mailing Address | Practice Location Address |
---|---|
Janet M Siciliano, NP 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-4813 | Janet M Siciliano, NP 11269 Jefferson Hwy N, Champlin, MN 55316-3123 Ph: (612) 427-9620 |
Mrs. Olitha Jamesetta Fofana, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10911 Rhode Island Cir N, Champlin, MN 55316 Phone: 763-493-2947 | |
Prince Nde Aloh, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11269 Jefferson Hwy N, Champlin, MN 55316 Phone: 763-236-0600 | |
Holly M Jensrud, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11269 Jefferson Hwy N, Champlin, MN 55316 Phone: 763-236-0600 Fax: 763-427-0790 | |
Stone Hamabwe Kabwe, CNP, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12142 Business Park Blvd N, Champlin, MN 55316 Phone: 952-977-0500 | |
Mrs. Amy Rasmussen, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11269 Jefferson Hwy N Fl 1, Champlin, MN 55316 Phone: 651-503-1994 | |
Micah Nicole Vande Vegte, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 220 E River Pkwy Unit 428, Champlin, MN 55316 Phone: 712-395-8621 |