JESSALYN SIEWERT CNP
NPI 1689143018
Nurse Practitioner - Pediatrics in Minneapolis, MN

Q: What is Jessalyn Siewert's NPI number?

The NPI number for Jessalyn Siewert is 1689143018. It was assigned to this individual provider in the NPPES registry on November 14, 2018.

Q: What is Jessalyn Siewert's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Jessalyn Siewert was last updated on March 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 November 14, 2018PECOS Enrolled

2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 672-6000 Get Directions Write a Review

NPPES record last updated: March 4, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 4, 2019, Nov 14, 2018 (2 updates tracked since 2018).

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About Jessalyn Siewert Cnp NPPES

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

JESSALYN SIEWERT CNP (NPI 1689143018) is an individual pediatrics provider in Minneapolis, Minnesota, licensed in Minnesota (6185) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689143018

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameJESSALYN SIEWERTCredential: CNP

Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454-1450

Mailing Address1242 Sargent AveSaint Paul, MN 55105-2719

Phone(612) 672-6000

Sole ProprietorNo

Enumeration DateNovember 14, 2018

Last NPPES UpdateMarch 4, 20192 updates tracked since enumeration

✔ NPI 1689143018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in MN · 6185

2450 RIVERSIDE AVE, Minneapolis, MN 55454

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessalyn Siewert Cnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55454 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.

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