Jessica Lee Tomlin Brunfelt, NP - Medicare Nurse Practitioner in Wyoming, MN

Jessica Lee Tomlin Brunfelt, NP is a medicare enrolled "Nurse Practitioner - Family" in Wyoming, Minnesota. She graduated from nursing school in 2004 and has 20 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 5200 Fairview Blvd, Wyoming, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 982-7600.

Jessica Lee Tomlin Brunfelt is licensed to practice in Minnesota (license number R 147155-7) 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 1609802453.

Contact Information

Jessica Lee Tomlin Brunfelt, NP
5200 Fairview Blvd,
Wyoming, MN 55092-8013
(651) 982-7600
Not Available

Map and Direction




Provider's Profile

Full NameJessica Lee Tomlin Brunfelt
GenderFemale
SpecialityNurse Practitioner
Experience20 Years
Location5200 Fairview Blvd, Wyoming, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jessica Lee Tomlin Brunfelt graduated from nursing school in 2004
  NPI Data:
  • NPI Number: 1609802453
  • Provider Enumeration Date: 06/23/2006
  • Last Update Date: 05/12/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 3375594088
  • Enrollment ID: I20050209000888

Medical Identifiers

Medical identifiers for Jessica Lee Tomlin Brunfelt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609802453NPI-NPPES
4304547MedicaidMT
2293216OtherMNARAZ
01-06279OtherMNMEDICA PRIMARY
132544OtherMNUCARE
HP48876OtherMNHEALTHPARTNERS
01-19710OtherMNMEDICA CHOICE
1042813OtherMNPREFERRED ONE
459R7TOOtherMNBCBS
0590695OtherIAIA MA
403132600MedicaidMN
41254200MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner R 147155-7 (Minnesota)Secondary
363LF0000XNurse Practitioner - Family R 147155-7 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fairview Home Care And HospiceMinneapolis, MNHome health agency
Fairview Lakes Health ServicesWyoming, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairview Clinics7113830142658

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. Jessica Lee Tomlin Brunfelt allows following entities to bill medicare on her behalf.
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameFairview Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346432218
PECOS PAC ID: 7113830142
Enrollment ID: O20031106000516

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. Jessica Lee Tomlin Brunfelt 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
Jessica Lee Tomlin Brunfelt, NP
5200 Fairview Blvd,
Wyoming, MN 55092-8013

Ph: (651) 982-7600
Jessica Lee Tomlin Brunfelt, NP
5200 Fairview Blvd,
Wyoming, MN 55092-8013

Ph: (651) 982-7600

Reviews and Comments


Nurse Practitioner Nurses in Wyoming, MN

Molly Levy, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092
Phone: 651-982-7600    
Mickey Mason Muller, DNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092
Phone: 651-982-7300    
Antonette Trapp, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092
Phone: 651-982-7000    
Jakiann Marie Mork, ANP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092
Phone: 651-982-7893    
Nancy Middlestead, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092
Phone: 651-982-7000    
Megan Ann Merrill, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092
Phone: 651-982-7000    
Suzanne S Rusk, PNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5200 Fairview Boulevard, Fairview Lakes Pediatrics, Wyoming, MN 55092
Phone: 651-682-7340    Fax: 651-982-7349

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.