| Jesse Koller, CNP | |
|
750 E 34th St, Hibbing, MN 55746-2341 | |
| (262) 488-1218 | |
| Not Available |
| Full Name | Jesse Koller |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 750 E 34th St, Hibbing, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548958044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 10157 (Minnesota) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 10157 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Range Regional Health Services | Hibbing, MN | Hospital |
| Fairview Hospital University | Minneapolis, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairview Express Care | 3375645179 | 1946 |
| Fairview Health Services | 1951213057 | 677 |
| Range Regional Health Services | 8022920024 | 349 |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811077175 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Entity Name | Range Regional Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669569265 PECOS PAC ID: 8022920024 Enrollment ID: O20031110000095 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse Koller, CNP 750 E 34th St, Hibbing, MN 55746-2341 Ph: Not Available | Jesse Koller, CNP 750 E 34th St, Hibbing, MN 55746-2341 Ph: (262) 488-1218 |
Nicole Marie Curtis, APRN, DNP, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11174 Dupont Rd, Hibbing, MN 55746 Phone: 218-969-1728 Fax: 218-216-0067 |
Janean Marie Mccue, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3605 Mayfair Ave, Fairview Mesaba Clinic, Hibbing, MN 55746 Phone: 218-262-3441 Fax: 218-362-6907 |
Ellen Suzanne Siekkinen, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1120 E 34th St, Hibbing, MN 55746 Phone: 218-362-7100 |
Christine Lynn Dworzynski, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1120 E 34th St, Hibbing, MN 55746 Phone: 218-362-7100 Fax: 218-362-7131 |
Anne Marie Flaim, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3605 Mayfair Ave, Hibbing, MN 55746 Phone: 218-262-3441 Fax: 218-362-6989 |
Lindsey Rebecca Anderson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 750 E 34th St, Hibbing, MN 55746 Phone: 218-262-4881 |
Elizabeth Faye Thompson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 750 E 34th St, Fairview Range Medical Center, Hibbing, MN 55746 Phone: 218-362-6343 |