JACKIE HOAITRAM PHAM HA DPM
NPI 1043553787
Podiatrist - Foot & Ankle Surgery in Edina, MN

Q: What is Jackie Pham Ha's NPI number?

The NPI number for Jackie Pham Ha is 1043553787. It was assigned to this individual provider in the NPPES registry on April 1, 2013.

Q: What is Jackie Pham Ha's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Jackie Pham Ha was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 01, 2013PECOS EnrolledAccepts Medicare Assignment

83.53/100

CMS Quality Rating

7600 FRANCE AVE S STE 1100, EDINA, MN 55435(952) 926-3566(952) 929-3358 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2021, Mar 17, 2018, Feb 19, 2018 and 2 more (5 updates tracked since 2017).

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About Jackie Hoaitram Pham Ha Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKIE HOAITRAM PHAM HA DPM (NPI 1043553787) is an individual foot & ankle surgery provider in Edina, Minnesota, licensed in Minnesota (954) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with St Francis Regional Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1043553787

Entity TypeIndividualFemale

Primary Taxonomy213ES0103X

Provider Legal NameJACKIE HOAITRAM PHAM HACredential: DPM

Location Address7600 FRANCE AVE S STE 1100Edina, MN 55435-5924

Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000

Phone(952) 926-3566

Fax(952) 929-3358

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateApril 1, 2013

Last NPPES UpdateApril 21, 20255 updates tracked since enumeration

NPPES CertifiedApril 21, 2025

✔ NPI 1043553787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in MN · 954

7600 FRANCE AVE S STE 1100, Edina, MN 55435

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Secondary Practice Locations 4

Location 15201 Eden Ave, Suite 50Edina, MN 55436-2316 · Phone (952) 929-2068

Location 21601 Saint Francis Ave Ste 100Shakopee, MN 55379-3384 · Phone (952) 428-3535

Location 35201 Eden Ave Ste 50Edina, MN 55436-2367 · Phone (763) 545-7545 · Fax (952) 929-2067

Location 47600 France Ave S Ste 1100Edina, MN 55435-5924 · Phone (952) 926-3566 · Fax (952) 929-3358

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jackie Hoaitram Pham Ha Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729383674

PECOS Enrollment IDI20161010000815

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

119 services119 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

103 services74 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

38 services20 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Francis Regional Medical Center

Acute Care Hospitals · Shakopee, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number240104

Location1455 St Francis AvenueShakopee, MN 55379 · Scott County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.53/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.79

Promoting Interoperability

100

Improvement Activities

Cost

63.31

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500

DME-Orthotic Devices · category DF000N

2 suppliers12 claims24 services$60.33 avg. paid by Medicare

For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5514

DME-Orthotic Devices · category DF000N

2 suppliers12 claims69 services$37.47 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CRAIG J FICKS D.P.M.

Podiatrist