JACKIE L COLLINS CNP NPI 1023086568

NPI Information

NPI: 1023086568
Provider Name: JACKIE L COLLINS, CNP
Classification: Nurse Practitioner - 363LF0000X
Specialization: Family
Entity Type: Individual
PECOS Registration: Yes
Address: 2805 CAMPUS DR STE 105
PLYMOUTH, MN
ZIP 55441
Phone: (763) 519-7440

Map and Directions

Get Directions

NPI Details

Jackie L Collins, CNP is a family nurse practitioner in Plymouth, MN with 29 years of experience. Jackie L Collins, CNP NPI is 1023086568. 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:

2805 CAMPUS DR STE 105
PLYMOUTH, MN
ZIP 55441-677
Phone: (763) 519-7440
Fax: (763) 519-7445

The NPI 1023086568 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.

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
Blood test, comprehensive group of blood chemicals (HCPCS:80053)
Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
Insertion of needle into vein for collection of blood sample (HCPCS:36415)
Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
Administration of chemotherapy into vein, 1 hour or less (HCPCS:96413)
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less (HCPCS:96365)

The enumeration date for this NPI number is 3/10/2006 and was last updated on 6/18/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	R128366-4	MINNESOTA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	HP32641	OTHER	MINNESOTA	HEALTHPARTNERS
2	404934900	MEDICAID	MARYLAND
3	151404	OTHER	MINNESOTA	UCARE MN
4	0105787	OTHER	MINNESOTA	MEDICA
5	1241627	OTHER	MINNESOTA	AMERICA'S PPO
6	67B81CO	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD MN
7	737611100	MEDICAID	MINNESOTA
8	1032598	OTHER	MINNESOTA	PREFERREDONE
9	41184100	MEDICAID	WISCONSIN

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: 3/30/2025

NPI Synchronization or Removal

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.

Previous NPI

Next NPI