| Jennifer Dart, RN, CNP | |
|
9701 Data Park, Mn006-w600, Minnetonka, MN 55343-9026 | |
| (800) 896-8936 | |
| (888) 866-3209 |
| Full Name | Jennifer Dart |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 26 Years |
| Location | 9701 Data Park, Minnetonka, 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 |
|---|---|---|---|
| 1376567404 | NPI | - | NPPES |
| 4400003-00 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | R162523-5 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lifesprk Home Health | Saint louis park, MN | Home health agency |
| 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 |
|---|---|---|
| Lifespark Medical Group Pa | 4385908201 | 20 |
| Entity Name | Lifespark Medical Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427551746 PECOS PAC ID: 4385908201 Enrollment ID: O20180501001022 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Dart, RN, CNP 3433 Broadway St Ne, Ste 300, Minneapolis, MN 55413-1761 Ph: (763) 587-7737 | Jennifer Dart, RN, CNP 9701 Data Park, Mn006-w600, Minnetonka, MN 55343-9026 Ph: (800) 896-8936 |
Mavis Osei Yeboah, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343 Phone: 336-549-6221 | |
Alane Renee Hartlage, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343 Phone: 608-286-0556 | |
Dawn M Schaefer, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343 Phone: 414-477-9978 | |
Rose M Paz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Bren Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343 Phone: 855-247-8847 | |
Raul Rodriguez, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343 Phone: 915-218-8568 | |
Ms. Susanna Monroe, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Unitedhealth Group Corporate Address, 9900 Bren Road East, Minnetonka, MN 55343 Phone: 941-875-5890 | |
Karry Ermita Audain, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343 Phone: 305-432-1249 |