Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacque Therese Brumm

Individual provider Nurse Practitioner · NPI 1922537992

Jacque Therese Brumm is a Nurse Practitioner in Saint Paul, Minnesota. Qualified in 2017, 9 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
9
Licensed in
MN
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

295 Phalen Blvd
Saint Paul, MN 55130-2400
Phone: (651) 495-6600
Fax: (952) 883-9677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence CNP5173 (MN)
Nurse Practitioner Taxonomy 363L00000X · Licence CNP5173 (MN)

Record details

NPI number1922537992
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 5, 2017
Last updated in NPPESFebruary 20, 2020
Certification dateFebruary 20, 2020
Mailing addressPo Box 1309, Minneapolis, MN 55440-1309

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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