| Jenikka Lee Tomashek, FNP-BC | |
|
2805 Campus Dr Ste 115, Plymouth, MN 55441-2677 | |
| (763) 577-7800 | |
| (763) 577-7855 |
| Full Name | Jenikka Lee Tomashek |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 2805 Campus Dr Ste 115, 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 |
|---|---|---|---|
| 1992014682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | R179785-9 (Minnesota) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2010006141 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fairview Southdale Hospital | Edina, MN | Hospital |
| Abbott Northwestern Hospital | Minneapolis, MN | Hospital |
| University Of Minnesota Medical Center, Fairview | Minneapolis, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allina Health System | 4587573613 | 3584 |
| Fairview Clinics | 7113830142 | 736 |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Entity Name | Fairview Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
| 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 | Fairview Express Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| 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 |
|---|---|
| Jenikka Lee Tomashek, FNP-BC 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-9000 | Jenikka Lee Tomashek, FNP-BC 2805 Campus Dr Ste 115, Plymouth, MN 55441-2677 Ph: (763) 577-7800 |