Nancy Jo Downerd , CNP
Nurse Practitioner • Robbinsdale, MN
3300 Oakdale Ave No, North Memorial Medical Center
Robbinsdale, MN 55422
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on January 20, 2010; this date does not establish years in practice.
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Published CMS data list 67 Original Medicare Part B services in 2022.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2022. Published rows only; this is not a quality measure.
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Published Part B service records, 2022:
- 99232 — Subsequent hospital care with moderate levelof medical decision making: 47 service units.
- 99231 — Subsequent hospital care with straightforward or low level of medical decision making, per day: 20 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2022. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2021 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2022). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Published CMS data list 13 Medicare Part D prescriptions, including refills, in 2018.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2018. Published rows only; this is not a quality measure.
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Published Part D records, 2018:
- Clopidogrel (Clopidogrel Bisulfate) — 13 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2018. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table · Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 39 in 2018 to 67 in 2022.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018–2022.
Practice Location & Contact Primary Location
3300 Oakdale Ave No
North Memorial Medical Center
Robbinsdale, MN 55422
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $3,367 in 2022
The total amount Medicare approved for these services in 2022. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2022.
Paid by Medicare
About $2,588 in 2022
The part of the Medicare-allowed amount that Medicare itself paid in 2022, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2022.
30-day fills
13 standardized 30-day fills in 2018
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$87 in 2018
The total cost of these prescriptions in 2018, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2018.
Open Payments general payments, program year 2023
All general payments: $39.77 across 2 records.
By nature of payment
- Food and Beverage: $39.77 across 2 records.
Reporting-company totals
- W. L. Gore & Associates, Inc.: $39.77 across 2 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2023 (published June 30, 2026).
NPI first issued
2010
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Robbinsdale and Minnesota
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Nancy Downerd are from 2022.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Nancy Downerd are from 2018.
14 active clinicians are listed under Nurse Practitioner with a practice address in Robbinsdale, MN (2,583 in Minnesota).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Robbinsdale
7.1% of these 14 clinicians have the CMS telehealth indicator.
64.3% of these 14 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 72% from 39 in 2018 to 67 in 2022.
- 2018: 39
- 2019: 24
- 2020: 21
- 2021: 37
- 2022: 67
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Medicare-allowed amount
Medicare-allowed amount increased 94% from $1,738 in 2018 to $3,367 in 2022.
- 2018: $1,738
- 2019: $779
- 2020: $617
- 2021: $1,701
- 2022: $3,367
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Paid by Medicare
Paid by Medicare increased 94% from $1,333 in 2018 to $2,588 in 2022.
- 2018: $1,333
- 2019: $548
- 2020: $472
- 2021: $1,313
- 2022: $2,588
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Medicare Part D prescriptions
CMS data for Part D prescriptions are available for 2018 only.
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30-day fills
CMS data for 30-day fills are available for 2018 only.
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Part D drug cost
CMS data for Part D drug cost are available for 2018 only.
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Industry payments (Open Payments)
CMS data for industry payments (Open Payments) are available for 2023 only.
Sources: CMS Medicare Physician & Other Practitioners (2022), CMS Medicare Part D Prescribers (2018), CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2023 (payments made January 1 – December 31, 2023): fewer than 11 records totaling $39.77.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| W. L. Gore & Associates, Inc. |
Food and Beverage
In-kind items and services
|
GORE CARDIOFORM Septal Occluder | General | $22.06 |
| W. L. Gore & Associates, Inc. |
Food and Beverage
In-kind items and services
|
GORE CARDIOFORM Septal Occluder | General | $17.71 |
Source: CMS Open Payments, program year 2023, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2021 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2022; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
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47 | 36 | $240.49 | $58.41 |
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99231
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
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20 | 19 | $128.95 | $31.08 |
Source: CMS Part B by Provider and Service, 2022; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2018.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Clopidogrel | Clopidogrel Bisulfate | 13 | 390 | $86.55 | — |
Source: CMS Part D by Provider and Drug, 2018; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 363L00000X
(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.
Career & Practice History
NPI enumerated January 20, 2010.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Nurse Practitioners in Robbinsdale
- Ashley Fruechte, NP
- Christine Wiese, ANP-BC
- Benjamin Ranstrom, NP
- Holley Gullickson
- Dr. Melissa Klein, DNP
- Chad Macheel, NP
Mailing Address
3300 Oakdale Ave No, North Memorial Medical Center
Robbinsdale, MN 55422
Phone: 7635202658