| Jennifer Holm, | |
|
1230 E Main St, Mankato, MN 56001 | |
| (507) 389-8502 | |
| (507) 625-3928 |
| Full Name | Jennifer Holm |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 1230 E Main St, Mankato, 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 |
|---|---|---|---|
| 1265881841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | CNP4581 (Minnesota) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | CNP 4581 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Francis Regional Medical Center | Shakopee, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Primary Ent, L.l.c. | 1658754015 | 5 |
| Suburban Emergency Associates Pa | 8325950975 | 14 |
| Entity Name | Suburban Emergency Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134173628 PECOS PAC ID: 8325950975 Enrollment ID: O20031103000223 |
| Entity Name | River's Edge Hospital & Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407849367 PECOS PAC ID: 7214849397 Enrollment ID: O20031120000094 |
| Entity Name | St Francis Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447605514 PECOS PAC ID: 7214821909 Enrollment ID: O20040212000408 |
| 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 | Primary Ent, L.l.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386374593 PECOS PAC ID: 1658754015 Enrollment ID: O20220817002202 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Holm, 1230 E Main St, Mankato, MN 56001-5066 Ph: (507) 625-1811 | Jennifer Holm, 1230 E Main St, Mankato, MN 56001 Ph: (507) 389-8502 |
Cassy Kay Burton, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 Madison Ave Ste 352, Mankato, MN 56001 Phone: 507-387-3195 | |
Elizabeth Cumberland, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Omar G Ferrer, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Laura Renee Fisher, CNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Mrs. Season Marie Hoffman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1230 E Main St, Mankato, MN 56001 Phone: 507-625-1811 | |
Darla R Theobald, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Danielle Wendinger, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1230 E Main St, Mankato, MN 56001 Phone: 507-625-1811 |