IndividualActive
Jan Nicodemus
NPI 1659886448 · Home Health Aide · Zimmerman, MN
Jan Nicodemus is a Home Health Aide provider in Zimmerman, MN (NPI 1659886448).
Provider details
- NPI number
- 1659886448
- Entity type
- Individual
- Primary specialty
- Home Health AideNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 10704477 (MN)
Specialties & taxonomies
Nursing Service Related Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12950 Fremont Ave Ste 102
Zimmerman, MN 55398-4629
Phone: (763) 294-0714
Fax: (763) 374-7161
Street-level locationGet directions
Mailing address
12950 Fremont Ave Ste 102
Zimmerman, MN 55398-4629
Additional practice locations (1)
- 155 Trail DrRanchester, WY 82839-5030Phone: (763) 238-5215Fax: (763) 374-7161
Registry dates
- Enumerated
- 2017-12-04
- Last updated
- 2024-07-21
- Certified
- 2024-07-21
Frequently asked questions
- What is Jan Nicodemus's NPI number?
- Jan Nicodemus's National Provider Identifier (NPI) is 1659886448, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jan Nicodemus's specialty?
- Jan Nicodemus is listed in the NPPES registry with a primary specialty of Home Health Aide (Nursing Service Related Providers).
- Where is Jan Nicodemus located?
- Jan Nicodemus's practice location on file with NPPES is 12950 Fremont Ave Ste 102, Zimmerman, MN 55398-4629.
- What is Jan Nicodemus's phone number?
- The practice phone number listed in the NPPES registry for Jan Nicodemus is (763) 294-0714.
- Is Jan Nicodemus's NPI active?
- Yes — Jan Nicodemus's NPI (1659886448) is active in the NPPES registry as of the last update on 2024-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.