| Ms Jenna Ra Bergquist, FNP | |
|
15075 Cimarron Ave, Rosemount, MN 55068-1635 | |
| (651) 322-8800 | |
| Not Available |
| Full Name | Ms Jenna Ra Bergquist |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 15075 Cimarron Ave, Rosemount, 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 |
|---|---|---|---|
| 1538420468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | R184322-4 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fairview Ridges Hospital | Burnsville, MN | Hospital |
| University Of Minnesota Medical Center, Fairview | Minneapolis, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairview Clinics | 7113830142 | 736 |
| 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 |
|---|---|
| Ms Jenna Ra Bergquist, FNP 15075 Cimarron Ave, Rosemount, MN 55068-1635 Ph: (651) 322-8800 | Ms Jenna Ra Bergquist, FNP 15075 Cimarron Ave, Rosemount, MN 55068-1635 Ph: (651) 322-8800 |
Charity Marie Lusteck, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13434 Carlingford Ln, Rosemount, MN 55068 Phone: 612-209-7524 | |
Kristin Hanson, DNP, CNP, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15265 Carrousel Way Ste 100, Rosemount, MN 55068 Phone: 952-443-4600 Fax: 651-322-4603 | |
Dr. Alexis Shante Ross, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15265 Carrousel Way Ste 100, Rosemount, MN 55068 Phone: 952-443-4600 |