JETTER ROBERTSON D.O
NPI 1760802508
Psychiatry & Neurology - Neurology in Minneapolis, MN
About Jetter Robertson D.o NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JETTER ROBERTSON D.O (NPI 1760802508) is an individual neurology provider in Minneapolis, Minnesota, licensed in Minnesota (63736) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Grand Itasca Clinic And Hospital, and is a graduate of Nova Southeastern Univ College Of Dental Medicine (2014).
NPPES Registry Identity
Specialties & Licenses 2
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
Jetter Robertson D.o 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 Reassignments
9Medicare enrollment records show Jetter Robertson reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55455
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Minneapolis, MN 55455
- Reassigned Medicare billing, Minnesota enrollment
- 1,662 clinicians in this Medicare group
Minneapolis, MN 55414
- Reassigned Medicare billing, Minnesota enrollment
- 1,453 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 2,361 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 1,178 clinicians in this Medicare group
Woodbury, MN 55125
- Reassigned Medicare billing, Minnesota enrollment
- 955 clinicians in this Medicare group
Grand Rapids, MN 55744
- Reassigned Medicare billing, Minnesota enrollment
- 555 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.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Grand Itasca Clinic And Hospital
Acute Care Hospitals · Grand Rapids, MNM Health Fairview Southdale Hospital
Acute Care Hospitals · Edina, MNM Health Fairview University Of Mn
Acute Care Hospitals · Minneapolis, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55455 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
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 Jetter Robertson's NPI number?
The NPI number for Jetter Robertson is 1760802508. It was assigned to this individual provider in the NPPES registry on April 20, 2014.
Where is Jetter Robertson located?
Jetter Robertson practices at 909 Fulton St SE, Minneapolis, MN 55455. The listed phone number is (612) 672-7422.
What is Jetter Robertson's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Jetter Robertson enrolled in Medicare?
Yes. Jetter Robertson 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 organizations bill Medicare for Jetter Robertson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jetter Robertson reassigns Medicare benefits to 9 organizations: Fairview Express Care (Minneapolis, MN), University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN), University Of Minnesota Physicians (Minneapolis, MN), Fairview Health Services (Minneapolis, MN), Fairview Specialty Services (Minneapolis, MN) and 4 more organizations, listed in the Medicare section above. 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 Jetter Robertson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jetter Robertson accept?
Health plans from Sanford Health Plan list Jetter Robertson 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 Jetter Robertson affiliated with any hospitals?
According to CMS data, Jetter Robertson is affiliated with Grand Itasca Clinic And Hospital, M Health Fairview Southdale Hospital and M Health Fairview University Of Mn.
When was this NPI record last updated?
The NPPES record for Jetter Robertson was last updated on May 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Jetter Robertson, D.O · NPI 1760802508
Neurology physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since April 20, 2014.
## Identity
- **NPI:** 1760802508 (Entity type: Individual)
- **Enumerated:** April 20, 2014
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** 63736 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 909 FULTON ST SE, Minneapolis, MN 55455
- **Phone:** (612) 672-7422
## 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:** 9 organizations under Medicare reassignment (form CMS-855R): Fairview Express Care (NPI 1629224258, Minneapolis, MN); University Of Minnesota Health Clinics And Surgery Center Inc (NPI 1003485004, Minneapolis, MN); University Of Minnesota Physicians (NPI 1477598118, Minneapolis, MN); Fairview Health Services (NPI 1316008212, Minneapolis, MN); Fairview Specialty Services (NPI 1043199334, Minneapolis, MN); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Nova Southeastern Univ College Of Dental Medicine, class of 2014
## Record status
- **NPPES last updated:** May 15, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1760802508) · Data from the CMS NPPES public registry.