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JESSE JAMES EWALDT
NPI 1376272435
Emergency Medicine in Bloomington, MN

Active since June 06, 2022PECOS EnrolledAccepts Medicare Assignment
4300 MARKETPOINTE DR STE 100, BLOOMINGTON, MN 55435(952) 767-4574 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 17, 2025, Jun 6, 2022 (2 updates tracked since 2022).

About Jesse James Ewaldt NPPES

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

JESSE JAMES EWALDT (NPI 1376272435) is an individual emergency medicine provider in Bloomington, Minnesota, licensed in Illinois (125090279) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview Southdale Hospital, and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1376272435
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJESSE JAMES EWALDT
Location Address4300 MARKETPOINTE DR STE 100Bloomington, MN 55435-5435
Mailing Address4300 Marketpointe Dr Ste 100Bloomington, MN 55435-5435 · (952) 767-4574
Phone(952) 767-4574
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2022
Enumeration DateJune 6, 2022
Last NPPES UpdateFebruary 17, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2025
✔ NPI 1376272435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IL · 125090279
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
4300 MARKETPOINTE DR STE 100, Bloomington, MN 55435
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Secondary Practice Location 1

Location 1701 N 1st St Ste D220Springfield, IL 62702-3757 · Phone (217) 545-3518 · Fax (217) 545-2711

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Jesse James Ewaldt 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 ID1658752902
PECOS Enrollment IDI20250618002162
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.

Hospital Affiliations CMS Care Compare 2

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

M Health Fairview Southdale Hospital

Acute Care Hospitals · Edina, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240078
Location6401 France Avenue SouthEdina, MN 55435 · Hennepin County
Emergency services Birthing friendly

M Health Fairview Ridges Hospital

Acute Care Hospitals · Burnsville, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number240207
Location201 East Nicollet BoulevardBurnsville, MN 55337 · Dakota County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55435 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.

REBECCA LYNN MEYER M.D.
Emergency Medicine
4300 MARKETPOINTE DR STE 100
BLOOMINGTON, MN 55435
Hennepin County (952) 835-9880
JACOB C KRUGER PA-C
Physician Assistant
4300 MARKETPOINTE DR STE 100
BLOOMINGTON, MN 55435
Hennepin County (528) 359-9880
DR. HOLLY LYNN SCHRUPP BERG MD
Emergency Medicine
4300 MARKETPOINTE DR STE 100
BLOOMINGTON, MN 55435
Hennepin County (952) 835-9880
MEREDITH JEAN LORIG PA-C
Physician Assistant
4300 MARKETPOINTE DR STE 100
BLOOMINGTON, MN 55435
Hennepin County (952) 835-9880
ANDREW H BAUER MD
Emergency Medicine
4300 MARKETPOINTE DR STE 100
BLOOMINGTON, MN 55435
Hennepin County (952) 835-9880
VICTORIA SHEPARD WILLIAMS PA-C, MPAS
Physician Assistant
4300 MARKETPOINTE DR STE 100
BLOOMINGTON, MN 55435
Hennepin County (952) 835-9880
MATTHEW BRIAN HAMILTON WILLIAMS PA-C
Physician Assistant
4300 MARKETPOINTE DR STE 100
BLOOMINGTON, MN 55435
Hennepin County (952) 835-9880
LAURA KUHLMAN
Emergency Medicine
4300 MARKETPOINTE DR STE 100
BLOOMINGTON, MN 55435
Hennepin County (952) 835-9880

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 Jesse Ewaldt's NPI number?

The NPI number for Jesse Ewaldt is 1376272435. It was assigned to this individual provider in the NPPES registry on June 6, 2022.

Where is Jesse Ewaldt located?

Jesse Ewaldt practices at 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435. The listed phone number is (952) 767-4574.

What is Jesse Ewaldt's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jesse Ewaldt enrolled in Medicare?

Yes. Jesse Ewaldt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jesse Ewaldt accept?

Health plans from Medica list Jesse Ewaldt 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.

Is Jesse Ewaldt affiliated with any hospitals?

According to CMS data, Jesse Ewaldt is affiliated with M Health Fairview Southdale Hospital and M Health Fairview Ridges Hospital.

When was this NPI record last updated?

The NPPES record for Jesse Ewaldt was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.