JACQUELYN FAITH MIRR MD
NPI 1679132989
Obstetrics & Gynecology in Woodbury, MN
About Jacquelyn Faith Mirr Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELYN FAITH MIRR MD (NPI 1679132989) is an individual obstetrics & gynecology provider in Woodbury, Minnesota, licensed in Minnesota (74576) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Maplewood, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted Insurance
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
Jacquelyn Faith Mirr Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Jacquelyn Mirr reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Maplwood, MN 55109
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Minnesota Womens Care PA
- 47 clinicians in this Medicare group
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 55125 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Jacquelyn Mirr's NPI number?
The NPI number for Jacquelyn Mirr is 1679132989. It was assigned to this individual provider in the NPPES registry on June 10, 2019. The provider is also known as Jacquelyn Faith Porter.
Where is Jacquelyn Mirr located?
Jacquelyn Mirr practices at 1687 Woodlane Dr Ste And102, Woodbury, MN 55125. The listed phone number is (651) 600-3035.
What is Jacquelyn Mirr's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Jacquelyn Mirr enrolled in Medicare?
Yes. Jacquelyn Mirr 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.
Which organization bills Medicare for Jacquelyn Mirr's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn Mirr reassigns Medicare benefits to Minnesota Women's Care, P.A. (Maplwood, MN). The 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 Jacquelyn Mirr's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacquelyn Mirr accept?
Health plans from HealthPartners and Sanford Health Plan list Jacquelyn Mirr 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.
When was this NPI record last updated?
The NPPES record for Jacquelyn Mirr was last updated on September 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jacquelyn Faith Mirr, MD · NPI 1679132989
Obstetrics & Gynecology physician in Woodbury, Minnesota. Individual provider, active in the CMS NPPES registry since June 10, 2019.
## Identity
- **NPI:** 1679132989 (Entity type: Individual)
- **Enumerated:** June 10, 2019
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 74576 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1687 WOODLANE DR STE AND102, Woodbury, MN 55125-3045
- **Phone:** (651) 600-3035
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Minnesota Women's Care, P.A. (NPI 1518221779, Maplwood, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** September 29, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1679132989) · Data from the CMS NPPES public registry.