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JENNIFER DART RN CNP NPI 1376567404


NPI Information

NPI: 1376567404
Provider Name: JENNIFER DART, RN, CNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Organization: MED CELL REGENERATE

PECOS Registration: Yes

Address:
9701 DATA PARK
MN006-W600
MINNETONKA, MN
ZIP 55343
Phone: (800) 896-8936
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Jennifer Dart, RN, CNP is a gerontology nurse practitioner in Minnetonka, MN with 25 years of experience. Jennifer Dart, RN, CNP NPI is 1376567404. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9701 DATA PARK
MN006-W600
MINNETONKA, MN
ZIP 55343-026
Phone: (800) 896-8936
Fax: (888) 866-3209

The NPI 1376567404 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of impact ear wax, one ear (HCPCS:69210)

The enumeration date for this NPI number is 7/26/2006 and was last updated on 12/20/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LG0600XNurse PractitionerGerontologyR162523-5MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14400003-00MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.