DR. JESSICA LYNN SELEDOTIS DO
NPI 1255071759
Internal Medicine in Minneapolis, MN

Q: What is Jessica Seledotis's NPI number?

The NPI number for Jessica Seledotis is 1255071759. It was assigned to this individual provider in the NPPES registry on March 31, 2022.

Q: What is Jessica Seledotis's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Seledotis was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 March 31, 2022PECOS EnrolledAccepts Medicare Assignment

701 PARK AVE, MINNEAPOLIS, MN 55415(612) 873-3000 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Jessica Lynn Seledotis Do NPPES

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

DR. JESSICA LYNN SELEDOTIS DO (NPI 1255071759) is an individual internal medicine provider in Minneapolis, Minnesota, licensed in Minnesota (80036) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Hennepin County Medical Center, and is a graduate of Michigan State University College Of Osteopathic Medicine (2022).

NPPES Registry Identity

NPI1255071759

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. JESSICA LYNN SELEDOTISCredential: DO

Location Address701 PARK AVEMinneapolis, MN 55415-1829

Mailing Address701 Park AveMinneapolis, MN 55415-1829 · (612) 873-3000

Phone(612) 873-3000

Sole ProprietorNo

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2022

Enumeration DateMarch 31, 2022

Last NPPES UpdateJune 26, 2025

NPPES CertifiedJune 26, 2025

✔ NPI 1255071759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MN · 80036

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

701 PARK AVE, Minneapolis, MN 55415

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jessica Lynn Seledotis Do 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 ID3173903366

PECOS Enrollment IDI20250702001227

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 Reassignment

Medicare enrollment records show Jessica Seledotis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hennepin Healthcare System, Inc

Same address

Rehabilitation Unit

701 PARK AVE, P1-FINANCE
Minneapolis, MN 55415

Reassigned Medicare billing, Minnesota enrollment
1,247 clinicians in this Medicare group

NPI 1033138136 (612) 873-3000

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

Hospital Affiliations CMS Care Compare

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

Hennepin County Medical Center

Acute Care Hospitals · Minneapolis, MN

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number240004

Location701 Park AvenueMinneapolis, MN 55415 · Hennepin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55415 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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