JESSICA LEE TOMLIN BRUNFELT NP NPI 1609802453

NPI Information

  • NPI: 1609802453
  • Provider Name: JESSICA LEE TOMLIN BRUNFELT, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5200 FAIRVIEW BLVD
    WYOMING, MN
    ZIP 55092
  • Phone: (651) 982-7600

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NPI Details

Jessica Lee Tomlin Brunfelt, NP is a family nurse practitioner in Wyoming, MN with 22 years of experience. Jessica Lee Tomlin Brunfelt, NP NPI is 1609802453. 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:

5200 FAIRVIEW BLVD
WYOMING, MN
ZIP 55092-013
Phone: (651) 982-7600

The NPI 1609802453 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.

  • 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)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Hemoglobin a1c level (HCPCS:83036)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Urine microalbumin (protein) level (HCPCS:82043)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85027)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
  • Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)

The enumeration date for this NPI number is 6/23/2006 and was last updated on 5/12/2014.

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
1363L00000XNurse PractitionerR 147155-7MINNESOTANo
2363LF0000XNurse PractitionerFamilyR 147155-7MINNESOTAYes

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
10590695OTHERIOWAIA MA
2500002901MEDICARE ID-TYPE UNSPECIFIEDMINNESOTAMN MEDICARE
341254200MEDICAIDWISCONSIN
41042813OTHERMINNESOTAPREFERRED ONE
5HP48876OTHERMINNESOTAHEALTHPARTNERS
601-06279OTHERMINNESOTAMEDICA PRIMARY
7403132600MEDICAIDMINNESOTA
8132544OTHERMINNESOTAUCARE
92293216OTHERMINNESOTAARAZ
1001-19710OTHERMINNESOTAMEDICA CHOICE
114304547MEDICAIDMONTANA
12459R7TOOTHERMINNESOTABCBS

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: 11/21/2025

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