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Deactivated NPI 1417902438 Deactivated / Inactive NPI Male Practitioner

John R Jeffers , NP

Nurse Practitioner • Minneapolis, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, John Jeffers has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 24, 2006
NPI Deactivation Date January 17, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

John Jeffers, NP was a registered Nurse Practitioner practicing in Minneapolis, MN. Throughout an active medical career spanning 18 years, John Jeffers provided care at the practice location at 701 PARK AVE until profile deactivation on 2024-01-17.

Practice Location & Contact Primary Location

Practice Address

701 Park Ave
S5

Minneapolis, MN 554151623

Telephone 6123475931
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Minneapolis, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.7 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
300 Specialists

Practicing in Minneapolis, MN (2609 Statewide)

Telehealth Adoption Rate
11.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MN R052610-2

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Charles Smith , MD

Internal Medicine - Nephrology

NPI 1316980220

Doctor of Medicine (M.D.)

Pamela Vaughn , RN, ANP-C

Nurse Practitioner

NPI 1326088790

Registered Nurse, Adult Nurse Practitioner (Certified)

Dr. Robert Berkseth , MD

Internal Medicine - Nephrology

NPI 1891748646

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 17, 2024

Record deactivated on January 17, 2024

NPI Profile Active July 20, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 20, 2007

Registered at 701 PARK AVE, S5, MINNEAPOLIS, MN 554151623 (Tel: 6123475931)

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Updated Business Mailing Address July 20, 2007

Registered at 701 PARK AVE, MINNEAPOLIS, MN 554151623

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Provider Name / Credentials Updated July 20, 2007

Recorded as JOHN JEFFERS, NP

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2007

Nurse Practitioner (License #R052610-2 in MN)

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Initial NPI Registration & Enumeration May 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417902438
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2006
Last Update: July 20, 2007
Deactivation Date: January 17, 2024

Mailing Address

701 Park Ave

Minneapolis, MN 554151623

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.