JESSICA DALE GOREHAM-VOSS M.D.
NPI 1780842385
Pediatrics in Minneapolis, MN

Q: What is Jessica Goreham-voss's NPI number?

The NPI number for Jessica Goreham-voss is 1780842385. It was assigned to this individual provider in the NPPES registry on May 30, 2008.

Q: What is Jessica Goreham-voss's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since May 30, 2008PECOS Enrolled

2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 884-0769 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 2, 2025, Oct 3, 2024, Dec 27, 2016 (3 updates tracked since 2016).

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About Jessica Dale Goreham-voss M.d. NPPES

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

JESSICA DALE GOREHAM-VOSS M.D. (NPI 1780842385) is an individual pediatrics provider in Minneapolis, Minnesota, licensed in Minnesota (54431) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1780842385

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameJESSICA DALE GOREHAM-VOSSCredential: M.D.

Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454-1450

Mailing Address720 Washington Ave Se Ste 200Minneapolis, MN 55414-2924

Phone(612) 884-0769

Sole ProprietorYes

Enumeration DateMay 30, 2008

Last NPPES UpdateApril 2, 20253 updates tracked since enumeration

NPPES CertifiedApril 2, 2025

✔ NPI 1780842385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in MN · 54431✔ Licensed in MN · 105484✔ Licensed in IA · R-8329

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2450 RIVERSIDE AVE, Minneapolis, MN 55454

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Secondary Practice Locations 3

Location 19555 Upland Ln NMaple Grove, MN 55369-4485 · Phone (952) 977-0272

Location 24050 Coon Rapids Blvd NW, Routing 51400Coon Rapids, MN 55433-2522 · Phone (763) 236-9765

Location 3720 Washington Ave SE Ste 200Minneapolis, MN 55414-2924 · Phone (612) 884-0769

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Dale Goreham-voss M.d. 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

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

Fairview Health Services

Same address

General Acute Care Hospital

2450 RIVERSIDE AVE, OUTREACH LAB DEPARTMENT
Minneapolis, MN 55454

Reassigned Medicare billing, Minnesota enrollment
4,038 clinicians in this Medicare group

NPI 1316008212 (612) 273-7838

Park Nicollet Clinic

2.0 mi

Family Medicine

1000 NICOLLET MALL, TPS 260
Minneapolis, MN 55403

Reassigned Medicare billing, Minnesota enrollment
2,527 clinicians in this Medicare group

NPI 1912315144 (952) 977-0700

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 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.

MICHELLE IRENE GRAY

Rehabilitation Practitioner