JESSICA ANNE ULRICH MD
NPI 1114419314
Pediatrics - Pediatric Gastroenterology in Minneapolis, MN

Q: What is Jessica Ulrich's NPI number?

The NPI number for Jessica Ulrich is 1114419314. It was assigned to this individual provider in the NPPES registry on June 4, 2018.

Q: What is Jessica Ulrich'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 Ulrich was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 June 04, 2018PECOS EnrolledAccepts Medicare Assignment

3001 BROADWAY ST NE STE 120, MINNEAPOLIS, MN 55413(612) 871-1145(612) 870-5491 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 6, 2024, Jul 1, 2021, Aug 26, 2020 and 2 more (5 updates tracked since 2018).

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About Jessica Anne Ulrich Md NPPES

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

JESSICA ANNE ULRICH MD (NPI 1114419314) is an individual pediatric gastroenterology provider in Minneapolis, Minnesota, licensed in Minnesota (66120) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (2018).

NPPES Registry Identity

NPI1114419314

Entity TypeIndividualFemale

Primary Taxonomy2080P0206X

Provider Legal NameJESSICA ANNE ULRICHCredential: MD

Location Address3001 BROADWAY ST NE STE 120Minneapolis, MN 55413-2196

Mailing AddressPo Box 14909Minneapolis, MN 55414-0909 · (612) 871-1145 · Fax (612) 870-5491

Phone(612) 871-1145

Fax(612) 870-5491

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2018

Enumeration DateJune 4, 2018

Last NPPES UpdateAugust 6, 20245 updates tracked since enumeration

NPPES CertifiedAugust 6, 2024

✔ NPI 1114419314 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 · 66120

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 29596 (MN)

3001 BROADWAY ST NE STE 120, Minneapolis, MN 55413

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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

Jessica Anne Ulrich Md 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 ID2769739739

PECOS Enrollment IDI20190808003728

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 55413 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 7

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

KRISTIN ANN BOROVSKY M.D.

Pediatrics (Pediatric Gastroenterology)