Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770551608 Individual Practitioner Female Practitioner

Jean L Nicholas , CRNP

Nurse Practitioner • Minnetonka, MN

Professional Overview & Biography Verified Profile Summary

Jean Nicholas, CRNP is a registered healthcare professional specializing in Nurse Practitioner in Minnetonka, MN. Practice services are available at 9900 BREN RD E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9900 Bren Rd E

Minnetonka, MN 553439664

Telephone 0000000000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Minnetonka, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.3 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
82 Specialists

Practicing in Minnetonka, MN (2609 Statewide)

Telehealth Adoption Rate
2.4% 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

CMS Verified: 2020-06-28
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OH NP03003

(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.

Secondary Practice Locations

9375 E Market St, Suite # 2

Warren, OH 444845515

Phone: 3306095277

Practice Associates & Co-Workers

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

40 Associated Practitioners
Caitlin Smedema , OTR, L

Occupational Therapist

NPI 1003112111

Occupational Therapist Registered, L

Karen Anderko

Case Manager/Care Coordinator

NPI 1003129271
Alexia Bustamante

Behavior Analyst

NPI 1003307851
Nathen Wright

Counselor

NPI 1003313149
Elizabeth Jones

Massage Therapist

NPI 1003345653
Vannadaniel Chor

Community Health Worker

NPI 1003406216

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location June 28, 2020

Registered at 9900 BREN RD E, MINNETONKA, MN 553439664 (Tel: 0000000000)

📍
Updated Business Mailing Address June 28, 2020

Registered at 9900 BREN ROAD EAST, MAIL ROUTE MN 008-B213, MINNETONKA, MN 55343

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 9375 E MARKET ST, SUITE # 2, WARREN, OH 444845515 (Tel: 3306095277)

📍
Updated Business Mailing Address July 08, 2007

Registered at 9375 E MARKET ST, SUITE # 2, WARREN, OH 444845515 (Tel: 3306095277)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JEAN NICHOLAS, CRNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #NP03003 in OH)

🟢
Initial NPI Registration & Enumeration March 08, 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: 1770551608
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 08, 2006
Last Update: June 28, 2020
Sole Proprietor: Yes

Mailing Address

9900 Bren Road East, Mail Route Mn 008-B213

Minnetonka, MN 55343

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.