Ms Jenna Ra Bergquist, FNP is a medicare enrolled "Nurse Practitioner" in Rosemount, Minnesota. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fairview Clinics and her current practice location is
15075 Cimarron Ave, Rosemount, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(651) 322-8800.
Ms Jenna Ra Bergquist is licensed to practice in Minnesota (license number R184322-4) 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 1538420468.
Provider's Profile
Full Name | Ms Jenna Ra Bergquist |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 12 Years |
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Location | 15075 Cimarron Ave, Rosemount, Minnesota |
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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:
- Ms Jenna Ra Bergquist graduated from nursing school in 2012
NPI Data:
- NPI Number: 1538420468
- Provider Enumeration Date: 06/07/2012
- Last Update Date: 09/20/2018
Medicare PECOS Information:
- PECOS PAC ID: 1850541665
- Enrollment ID: I20121031000619
Medical Identifiers
Medical identifiers for Ms Jenna Ra Bergquist such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538420468 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | R184322-4 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Fairview Clinics | 7113830142 | 658 |
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. Ms Jenna Ra Bergquist allows following entities to bill medicare on her behalf.
Entity Name | Fairview Clinics |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
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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. Ms Jenna Ra Bergquist 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 |
Ms Jenna Ra Bergquist, FNP 15075 Cimarron Ave, Rosemount, MN 55068-1635 Ph: (651) 322-8800 | Ms Jenna Ra Bergquist, FNP 15075 Cimarron Ave, Rosemount, MN 55068-1635 Ph: (651) 322-8800 |
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