Jakiann Marie Mork, ANP-BC - Medicare Nurse Practitioner in Wyoming, MN

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Jakiann Marie Mork, ANP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" in Wyoming, Minnesota. She graduated from nursing school in 2009 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Josephs Medical Center 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) 982-7893.

Jakiann Marie Mork is licensed to practice in Minnesota (license number R103401-7) 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 1184855587.

Contact Information

Jakiann Marie Mork, ANP-BC
5200 Fairview Blvd,
Wyoming, MN 55092-8013
(651) 982-7893
Not Available

Map and Direction




Provider's Profile

Full NameJakiann Marie Mork
GenderFemale
SpecialityNurse Practitioner
Experience16 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:
  • Jakiann Marie Mork graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1184855587
  • Provider Enumeration Date: 08/03/2009
  • Last Update Date: 08/03/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 0244377505
  • Enrollment ID: I20091020000229

Medical Identifiers

Medical identifiers for Jakiann Marie Mork such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184855587NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health R103401-7 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Essentia Health St Joseph's Medical CenterBrainerd, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Josephs Medical Center8224948443226

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. Jakiann Marie Mork 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
Entity NameHealtheast Woodwinds Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356309322
PECOS PAC ID: 9638082563
Enrollment ID: O20031107000110
Entity NameSt Josephs Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568415974
PECOS PAC ID: 8224948443
Enrollment ID: O20031119000468
Entity NameHealtheast Medical Research Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639125503
PECOS PAC ID: 3971407636
Enrollment ID: O20031124000507
Entity NameHealtheast St John's Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447218482
PECOS PAC ID: 9234035742
Enrollment ID: O20031208000320
Entity NameFairview Bethesda Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194787465
PECOS PAC ID: 7214833763
Enrollment ID: O20031208000483
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548

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. Jakiann Marie Mork 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
Jakiann Marie Mork, ANP-BC
4535 Heights Dr,
Columbia Heights, MN 55421-3321

Ph: (763) 571-8105		Jakiann Marie Mork, ANP-BC
5200 Fairview Blvd,
Wyoming, MN 55092-8013

Ph: (651) 982-7893

Reviews and Comments


Nurse Practitioner Nurses in Wyoming, MN

Molly Levy, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092
Phone: 651-982-7600    
Antonette Trapp, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092
Phone: 651-982-7000    
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
Jessica Lee Tomlin Brunfelt, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092
Phone: 651-982-7600    

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.