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DR. JOHN CHARLES HENNESSEY M.D.
NPI 1528898038
Surgery - Vascular Surgery in Saint Paul, MN

Active since August 07, 2024PECOS EnrolledAccepts Medicare Assignment
401 PHALEN BLVD, HEALTHPARTNERS SPECIALTY CENTER - VASCULAR SURGERY 4TH, SAINT PAUL, MN 55130(952) 967-7977(651) 254-7969 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 6, 2024, Aug 7, 2024 (2 updates tracked since 2024).

About Dr. John Charles Hennessey M.d. NPPES

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

DR. JOHN CHARLES HENNESSEY M.D. (NPI 1528898038) is an individual vascular surgery provider in Saint Paul, Minnesota, licensed in Minnesota (78317) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS, is affiliated with Lakeview Memorial Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1528898038
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. JOHN CHARLES HENNESSEYCredential: M.D.
Location Address401 PHALEN BLVD, HEALTHPARTNERS SPECIALTY CENTER - VASCULAR SURGERY 4THSaint Paul, MN 55130-5302
Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516
Phone(952) 967-7977
Fax(651) 254-7969
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 7, 2024
Last NPPES UpdateApril 23, 20252 updates tracked since enumeration
NPPES CertifiedApril 23, 2025
✔ NPI 1528898038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Licenses✔ Licensed in MN · 78317✔ Licensed in NY · 333269✔ Licensed in WI · 85238-20
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
401 PHALEN BLVD, Saint Paul, MN 55130
Open in Google Maps ↗

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

Dr. John Charles Hennessey 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 ID4486179843
PECOS Enrollment IDI20250417002132
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 3

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

Lakeview Memorial Hospital

Acute Care Hospitals · Stillwater, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number240066
Location927 West Churchill StreetStillwater, MN 55082 · Washington County
Emergency services Birthing friendly

Regions Hospital

Acute Care Hospitals · Saint Paul, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240106
Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County
Emergency services Birthing friendly

Hudson Hospital

Critical Access Hospitals · Hudson, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521335
Location405 Stageline RoadHudson, WI 54016 · St. Croix County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55130 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
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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.

ANDREA LANGEVELD
Dermatology
401 PHALEN BLVD
SAINT PAUL, MN 55130
Ramsey County (651) 254-7580
DR. ANDREW CARAGANIS MD
Internal Medicine (Pulmonary Disease)
401 PHALEN BLVD
SAINT PAUL, MN 55130
Ramsey County (651) 254-7670
SAMANTHA MAY DELACEY
Physician Assistant
401 PHALEN BLVD
SAINT PAUL, MN 55130
Ramsey County (651) 254-7980
REBECCA LYNN KUMMER MD
Internal Medicine (Critical Care Medicine)
401 PHALEN BLVD
SAINT PAUL, MN 55130
Ramsey County (651) 254-7670
DR. THOMAS LEE IRVIN MD
Internal Medicine (Rheumatology)
401 PHALEN BLVD
SAINT PAUL, MN 55130
Ramsey County (651) 254-7800
DR. MATTHEW THOMAS HENDRICKS OD
Optometrist
401 PHALEN BLVD
SAINT PAUL, MN 55130
Ramsey County (651) 254-7500
ROBYN MARIE KAISER M.D.
Internal Medicine (Infectious Disease)
401 PHALEN BLVD
SAINT PAUL, MN 55130
Ramsey County (651) 254-7820
KATHERINE E BRICK M.D.
Dermatology
401 PHALEN BLVD
SAINT PAUL, MN 55130
Ramsey County (651) 254-7580

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 John Hennessey's NPI number?

The NPI number for John Hennessey is 1528898038. It was assigned to this individual provider in the NPPES registry on August 7, 2024.

Where is John Hennessey located?

John Hennessey practices at 401 Phalen Blvd Healthpartners Specialty Center - Vascular Surgery 4th, Saint Paul, MN 55130. The listed phone number is (952) 967-7977.

What is John Hennessey's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is John Hennessey enrolled in Medicare?

Yes. John Hennessey 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 John Hennessey accept?

Health plans from HealthPartners and Medica list John Hennessey 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 John Hennessey affiliated with any hospitals?

According to CMS data, John Hennessey is affiliated with Lakeview Memorial Hospital, Regions Hospital and Hudson Hospital.

When was this NPI record last updated?

The NPPES record for John Hennessey was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.