Jennifer Mae Sullivan, WHNP in Fridley, MN - Medicare Nurse Practitioner

Jennifer Mae Sullivan, WHNP is a medicare enrolled "Nurse Practitioner - Women's Health" in Fridley, Minnesota. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Allina Health System and her current practice location is 500 Osborne Rd Ne, Suite 200, Fridley, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 786-6011.

Jennifer Mae Sullivan is licensed to practice in Minnesota (license number R1564338) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053584789.

Contact Information

	Jennifer Mae Sullivan, WHNP
	500 Osborne Rd Ne, Suite 200, Fridley, MN 55432-2774
	(763) 786-6011
	Not Available

Map and Direction

Provider's Profile

Full Name	Jennifer Mae Sullivan
Gender	Female
Speciality	Nurse Practitioner
Experience	16 Years
Location	500 Osborne Rd Ne, Fridley, 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.

Medical Education and Training:

Jennifer Mae Sullivan graduated from nursing school in 2008

NPI Data:

NPI Number: 1053584789
Provider Enumeration Date: 04/02/2008
Last Update Date: 11/10/2020

Medicare PECOS Information:

PECOS PAC ID: 0941375034
Enrollment ID: I20080825000561

Medical Identifiers

Medical identifiers for Jennifer Mae Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053584789	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	R1564338 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Allina Health System	4587573613	3101

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. Jennifer Mae Sullivan allows following entities to bill medicare on her behalf.

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

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. Jennifer Mae Sullivan 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
Jennifer Mae Sullivan, WHNP 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-5000	Jennifer Mae Sullivan, WHNP 500 Osborne Rd Ne, Suite 200, Fridley, MN 55432-2774 Ph: (763) 786-6011

Reviews and Comments

Nurse Practitioner Nurses in Fridley, MN

Kimberly Ann Franklin, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 550 Osborne Rd Ne, Fridley, MN 55432 Phone: 763-236-5000 Fax: 763-236-3433
Jeanne Louise Luck, RN, MSN, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8290 University Ave Ne, Suite 200, Fridley, MN 55432 Phone: 763-786-9543 Fax: 763-786-3320
Miss Chantel Noel Olson, APRN, CNP, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6401 University Ave Ne, Fridley, MN 55432 Phone: 763-586-5844
Daniel Spencer Brooks, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6341 University Ave Ne, Fridley, MN 55432 Phone: 763-586-5844
Nicole Peluso, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 480 Osborne Rd Ne Ste 280, Fridley, MN 55432 Phone: 763-236-3800
Ann K. Murtaugh, WHNP, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6341 University Ave Ne, Fridley, MN 55432 Phone: 763-572-5710 Fax: 763-586-5927

Jennifer Mae Sullivan, WHNP - Medicare Nurse Practitioner in Fridley, MN