DR. JESSIE ALICIA FAUNTLEROY MD
NPI 1689949026
Obstetrics & Gynecology in Minot, ND

Active since March 19, 2012PECOS EnrolledAccepts Medicare Assignment
83.79/100
CMS Quality Rating
2305 37TH AVE SW, MINOT, ND 58701(701) 857-5000 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 16, 2023, Nov 4, 2016 (2 updates tracked since 2016).

About Dr. Jessie Alicia Fauntleroy Md NPPES

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

DR. JESSIE ALICIA FAUNTLEROY MD (NPI 1689949026) is an individual obstetrics & gynecology provider in Minot, North Dakota, licensed in North Dakota (14154) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, is affiliated with Trinity Hospitals, and maintains a secondary practice location in Minot.

NPPES Registry Identity

NPI1689949026
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. JESSIE ALICIA FAUNTLEROYCredential: MD
Location Address2305 37TH AVE SWMinot, ND 58701-7669
Mailing AddressPo Box 5010Minot, ND 58702-5010 · (701) 418-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 19, 2012
Last NPPES UpdateSeptember 23, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2025
NPI 1689949026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in ND · 14154
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2305 37TH AVE SW, Minot, ND 58701

Secondary Practice Location 1

Location 1831 S BroadwayMinot, ND 58701-4636 · Phone (716) 878-7750

Accepted 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. Jessie Alicia Fauntleroy 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.

PECOS PAC ID2860780905
PECOS Enrollment IDI20161005002114
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
41 services18 patients

Hospital Affiliations CMS Care Compare

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

Trinity Hospitals

Acute Care Hospitals · Minot, ND
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350006
Location407 3rd St SEMinot, ND 58701 · Ward County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58701 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
$127.45 typical visit price
range $55.75 – $168.12
Typical copayment $31.86 (range $13.93 – $42.03)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.37
Promoting Interoperability100
Improvement Activities40
Cost67.62

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.

Anesthesiology
2305 37TH AVE SW
MINOT, ND 58701
Registered Nurse (Critical Care Medicine)
2305 37TH AVE SW
MINOT, ND 58701
Surgery (Surgery of the Hand)
2305 37TH AVE SW
MINOT, ND 58701
Nurse Anesthetist, Certified Registered
2305 37TH AVE SW
MINOT, ND 58701
Hospitalist
2305 37TH AVE SW
MINOT, ND 58701
Nurse Practitioner (Family)
2305 37TH AVE SW
MINOT, ND 58701
Nurse Anesthetist, Certified Registered
2305 37TH AVE SW
MINOT, ND 58701
Audiologist
2305 37TH AVE SW
MINOT, ND 58701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689949026, enumerated as an "individual" on March 19, 2012.

The provider is located at 2305 37TH AVE SW MINOT, ND 58701 and the phone number is (701) 857-5000.

Obstetrics & Gynecology with taxonomy code 207V00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield of North Dakota, Medica and. Please consult your insurance carrier or call the provider to verify.

Jessie Fauntleroy is affiliated with: TRINITY HOSPITALS.