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DR. JESSICA EILEEN STUMPHY M.D.
NPI 1104051721
Pediatrics - Pediatric Gastroenterology in Minneapolis, MN

Active since May 27, 2009PECOS Enrolled
2450 RIVERSIDE AVE, EAST BUILDING, 6TH FLOOR, 8952C, MINNEAPOLIS, MN 55454(612) 624-1133(612) 626-0639 Get Directions Write a Review

NPPES record last updated: July 8, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jessica Eileen Stumphy M.d. NPPES

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

DR. JESSICA EILEEN STUMPHY M.D. (NPI 1104051721) is an individual pediatric gastroenterology provider in Minneapolis, Minnesota, licensed in Minnesota (108249) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104051721
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NameDR. JESSICA EILEEN STUMPHYCredential: M.D.
Location Address2450 RIVERSIDE AVE, EAST BUILDING, 6TH FLOOR, 8952CMinneapolis, MN 55454-1450
Mailing Address2450 Riverside Ave, East Building, 6th Floor, 8952cMinneapolis, MN 55454-1450 · (612) 624-1133 · Fax (612) 626-0639
Phone(612) 624-1133
Fax(612) 626-0639
Sole ProprietorYes
Enumeration DateMay 27, 2009
Last NPPES UpdateJuly 8, 2015
✔ NPI 1104051721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in MN · 108249
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Also ListedPediatricsTaxonomy 208000000X · License MD-40199 (IA)
2450 RIVERSIDE AVE, Minneapolis, MN 55454
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jessica Eileen Stumphy M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Jessica Stumphy reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairview Express Care
Same address
Clinic/Center
2450 RIVERSIDE AVE, STE F140
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
NPI 1841428745 (612) 672-6999
Fairview Specialty Services
Same address
Physical Therapy
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,373 clinicians in this Medicare group
NPI 1043199334 (855) 324-7843
University Of Minnesota Pediatric Dental Clinic
0.1 mi
Dentist
701 25TH AVE S, SUITE 400
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: University Of Minnesota Physicians
  • 1,453 clinicians in this Medicare group
NPI 1992075287 (651) 659-4900
University Of Minnesota Health Clinics And Surgery Center Inc
0.7 mi
Anesthesiology
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,662 clinicians in this Medicare group
NPI 1003485004 (612) 273-8383

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55454 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MICHELLE IRENE GRAY
Rehabilitation Practitioner
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
DR. KATHLEEN F SADAK MD
Pediatrics
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-6402
DR. ADMATHA MUTHYALA WINFRED MD
Internal Medicine (Geriatric Medicine)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
KELLY SCHELLER WILLIAMS
Dietitian, Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-3216
MRS. MARY SUSAN CLIPP CPNP-AC
Nurse Practitioner (Pediatrics, Critical Care)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 365-3100
DANIEL TESFAYE KEBED MD
Internal Medicine
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
MS. CHELSEA ANJELICA MIELKE PA-C
Physician Assistant
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
MRS. JESSICA LYNN MCADAM
Nurse Anesthetist, Certified Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-8383

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Stumphy's NPI number?

The NPI number for Jessica Stumphy is 1104051721. It was assigned to this individual provider in the NPPES registry on May 27, 2009.

Where is Jessica Stumphy located?

Jessica Stumphy practices at 2450 Riverside Ave East Building, 6th Floor, 8952C, Minneapolis, MN 55454. The listed phone number is (612) 624-1133.

What is Jessica Stumphy's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Jessica Stumphy enrolled in Medicare?

Yes. Jessica Stumphy is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jessica Stumphy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Stumphy reassigns Medicare benefits to 4 organizations: Fairview Express Care (Minneapolis, MN), Fairview Specialty Services (Minneapolis, MN), University Of Minnesota Pediatric Dental Clinic (Minneapolis, MN) and University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Stumphy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Stumphy accept?

Health plans from HealthPartners and Sanford Health Plan list Jessica Stumphy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Stumphy was last updated on July 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.