1. Home
  2. Directory
  3. North Dakota
  4. Grand Forks
  5. Orthopaedic Surgery
  6. NPI Profile

JESSICA S SHIN MD
NPI 1578820775
Orthopaedic Surgery in Grand Forks, ND

Active since April 12, 2012PECOS Enrolled
4440 S. WASHINGTON ST., GRAND FORKS, ND 58201(701) 732-7700 Get Directions Write a Review

NPPES record last updated: October 6, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 6, 2020, Sep 21, 2018, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Jessica S Shin Md NPPES

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

JESSICA S SHIN MD (NPI 1578820775) is an individual orthopaedic surgery provider in Grand Forks, North Dakota, licensed in Illinois (036147473) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1578820775
Entity TypeIndividualFemale
Primary Taxonomy207X00000X
Provider Legal NameJESSICA S SHINCredential: MD
Location Address4440 S. WASHINGTON ST.Grand Forks, ND 58201-7245
Mailing Address2401 Demers AveGrand Forks, ND 58201 · (701) 780-6468
Phone(701) 732-7700
Sole ProprietorNo
Enumeration DateApril 12, 2012
Last NPPES UpdateOctober 6, 20205 updates tracked since enumeration
NPPES CertifiedOctober 6, 2020
✔ NPI 1578820775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in IL · 036147473✔ Licensed in UT · 10248520-1205
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
4440 S. WASHINGTON ST., Grand Forks, ND 58201
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1420 Delaware St SE, MMC 195Minneapolis, MN 55455-0341 · Phone (612) 625-8586 · Fax (612) 625-5144
Location 2590 S Wakara WaySalt Lake City, UT 84108-1200 · Phone (801) 587-5400 · Fax (801) 587-5411

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica S Shin Md 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

2

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

Riverside Health System
649 mi
Psychiatry
500 N WALL ST, SUITE 200
Kankakee, IL 60901
  • Reassigned Medicare billing, Illinois enrollment
  • 381 clinicians in this Medicare group
NPI 1336354430 (815) 937-1237
University Of Utah Adult Services
874 mi
Dermatology
165 N. UNIVERSITY AVE. FARMINGTON
Farmington, UT 84025
  • Reassigned Medicare billing, Utah enrollment
  • 2,620 clinicians in this Medicare group
NPI 1649724139 (801) 213-3200

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 58201 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
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 7

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

ETHAN LEE THOMAS FNP-C
Nurse Practitioner (Family)
4440 S. WASHINGTON ST.
GRAND FORKS, ND 58201
Grand Forks County (701) 732-7000
QIANLIN LI DPM
Podiatrist
4440 S. WASHINGTON ST.
GRAND FORKS, ND 58201
Grand Forks County (701) 732-7000
BETH JEAN ANDERSON APRN, CNP
Nurse Practitioner (Family)
4440 S. WASHINGTON ST.
GRAND FORKS, ND 58201
Grand Forks County (701) 732-7600
HENRI ROMMELL CAOILI MD
Physical Medicine & Rehabilitation
4440 S. WASHINGTON ST.
GRAND FORKS, ND 58201
Grand Forks County (701) 780-5000
ASHLEY BLACK PA-C
Physician Assistant
4440 S. WASHINGTON ST.
GRAND FORKS, ND 58201
Grand Forks County (701) 732-7600
ERIN MONDRY PA-C
Physician Assistant
4440 S. WASHINGTON ST.
GRAND FORKS, ND 58201
Grand Forks County (701) 732-7700
SPENCER DANE UETZ MD
Otolaryngology
4440 S. WASHINGTON ST.
GRAND FORKS, ND 58201
Grand Forks County (701) 732-7000

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 Jessica Shin's NPI number?

The NPI number for Jessica Shin is 1578820775. It was assigned to this individual provider in the NPPES registry on April 12, 2012.

Where is Jessica Shin located?

Jessica Shin practices at 4440 S. Washington St., Grand Forks, ND 58201. The listed phone number is (701) 732-7700.

What is Jessica Shin's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Jessica Shin enrolled in Medicare?

Yes. Jessica Shin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jessica Shin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Shin reassigns Medicare benefits to 2 organizations: Riverside Health System (Kankakee, IL) and University Of Utah Adult Services (Farmington, UT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Shin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jessica Shin was last updated on October 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.