| Jill Titze, NP | |
|
5200 Douglas Dr N, Crystal, MN 55429-3104 | |
| (763) 400-3628 | |
| (763) 342-4183 |
| Full Name | Jill Titze |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 5200 Douglas Dr N, Crystal, 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 |
|---|---|---|---|
| 1487969820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | CNP 3022 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Memorial Health | Robbinsdale, MN | Hospital |
| Abbott Northwestern Hospital | Minneapolis, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Herself Health Mn Pc | 6507234820 | 26 |
| 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 |
| Entity Name | Herself Health Mn Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326775420 PECOS PAC ID: 6507234820 Enrollment ID: O20221117002048 |
| Mailing Address | Practice Location Address |
|---|---|
| Jill Titze, NP 3500 France Ave N Ste 200, Robbinsdale, MN 55422-2809 Ph: (763) 581-5678 | Jill Titze, NP 5200 Douglas Dr N, Crystal, MN 55429-3104 Ph: (763) 400-3628 |
Sarah Mary Johnson, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5200 Douglas Dr N, Crystal, MN 55429 Phone: 763-400-3628 Fax: 763-342-4183 | |
Jessica Lynn Rusciano, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 5109 36th Ave N, Crystal, MN 55422 Phone: 763-587-7999 | |
Jennifer Nelson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5200 Douglas Dr N, Crystal, MN 55429 Phone: 763-400-3628 Fax: 763-342-4183 | |
Julitta Adu-gyamfi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6014 Lakeland Ave N, Crystal, MN 55428 Phone: 612-871-2312 | |
Helen O Osonowo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5724 Bass Lake Rd, Crystal, MN 55429 Phone: 763-561-3434 Fax: 612-314-8840 | |
Naomi B Machungo, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5200 Douglas Dr N, Crystal, MN 55429 Phone: 763-400-3628 Fax: 763-342-4183 |