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

Q: 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.

Q: What is Jessica Stumphy's specialty?

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

Q: 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.

Active since May 27, 2009PECOS EnrolledAccepts Medicare Assignment

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: August 16, 2026.

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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 and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2009).

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

Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2009

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, Medica, Sanford Health Plan.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

Dr. Jessica Eileen Stumphy M.d. 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 ID6709026784

PECOS Enrollment IDI20150609001631

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.

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.

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