MAUREEN KAY JAQUA DO
NPI 1255658001
Pediatrics in Minneapolis, MN

Q: What is Maureen Jaqua's NPI number?

The NPI number for Maureen Jaqua is 1255658001. It was assigned to this individual provider in the NPPES registry on May 3, 2010.

Q: What is Maureen Jaqua's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Maureen Jaqua was last updated on June 18, 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 May 03, 2010PECOS Enrolled

2925 CHICAGO AVE, MINNEAPOLIS, MN 55407(612) 863-4000(763) 236-3026 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 18, 2024, Apr 13, 2022 (2 updates tracked since 2022).

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About Maureen Kay Jaqua Do NPPES

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

MAUREEN KAY JAQUA DO (NPI 1255658001) is an individual pediatrics provider in Minneapolis, Minnesota, licensed in Minnesota (56342) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255658001

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMAUREEN KAY JAQUACredential: DO

Location Address2925 CHICAGO AVEMinneapolis, MN 55407-1321

Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516

Phone(612) 863-4000

Fax(763) 236-3026

Sole ProprietorNo

Enumeration DateMay 3, 2010

Last NPPES UpdateJune 18, 20242 updates tracked since enumeration

NPPES CertifiedJune 18, 2024

✔ NPI 1255658001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MN · 56342

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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

2925 CHICAGO AVE, Minneapolis, MN 55407

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Secondary Practice Locations 2

Location 12525 Chicago Ave, MS32-1024Minneapolis, MN 55404-4518 · Phone (612) 813-6000

Location 26500 Excelsior BlvdSt Louis Park, MN 55426-4702 · Phone (952) 993-5000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maureen Kay Jaqua Do 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

Medicare enrollment records show Maureen Jaqua reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Childrens Health Care

0.5 mi

Anatomic Pathology & Clinical Pathology

2525 CHICAGO AVE S
Minneapolis, MN 55404

Reassigned Medicare billing, Minnesota enrollment
Medicare enrollment name: Children's Health Care
551 clinicians in this Medicare group

NPI 1053410928 (612) 813-6280

Park Nicollet Clinic

1.8 mi

Family Medicine

1000 NICOLLET MALL, TPS 260
Minneapolis, MN 55403

Reassigned Medicare billing, Minnesota enrollment
2,527 clinicians in this Medicare group

NPI 1912315144 (952) 977-0700

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 55407 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

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.

DR. TRACI ARNETTE ROBERTS M.D.

Internal Medicine