| Jessica Lee Tomlin Brunfelt, NP | |
|
5200 Fairview Blvd, Wyoming, MN 55092-8013 | |
| (651) 982-7600 | |
| Not Available |
| Full Name | Jessica Lee Tomlin Brunfelt |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 21 Years |
| Location | 5200 Fairview Blvd, Wyoming, 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 |
|---|---|---|---|
| 1609802453 | NPI | - | NPPES |
| 4304547 | Medicaid | MT | |
| 2293216 | Other | MN | ARAZ |
| 01-06279 | Other | MN | MEDICA PRIMARY |
| 132544 | Other | MN | UCARE |
| HP48876 | Other | MN | HEALTHPARTNERS |
| 01-19710 | Other | MN | MEDICA CHOICE |
| 1042813 | Other | MN | PREFERRED ONE |
| 459R7TO | Other | MN | BCBS |
| 0590695 | Other | IA | IA MA |
| 403132600 | Medicaid | MN | |
| 41254200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | R 147155-7 (Minnesota) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | R 147155-7 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fairview Home Care And Hospice | Minneapolis, MN | Home health agency |
| Fairview Lakes Health Services | Wyoming, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Lee Tomlin Brunfelt, NP 5200 Fairview Blvd, Wyoming, MN 55092-8013 Ph: (651) 982-7600 | Jessica Lee Tomlin Brunfelt, NP 5200 Fairview Blvd, Wyoming, MN 55092-8013 Ph: (651) 982-7600 |
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 | |
Jakiann Marie Mork, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7893 | |
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 |