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MICHELLE MARY JANCARIC MD
NPI 1790359164
Pediatrics in Maplewood, MN

Active since May 19, 2021PECOS Enrolled
2945 HAZELWOOD ST STE 100, MAPLEWOOD, MN 55109(651) 232-7800(651) 232-7940 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 14, 2024, May 19, 2021 (2 updates tracked since 2021).

About Michelle Mary Jancaric Md NPPES

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

MICHELLE MARY JANCARIC MD (NPI 1790359164) is an individual pediatrics provider in Maplewood, Minnesota, licensed in Minnesota (76498) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1790359164
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMICHELLE MARY JANCARICCredential: MD
Location Address2945 HAZELWOOD ST STE 100Maplewood, MN 55109-1242
Mailing Address1700 University Ave WSaint Paul, MN 55104-3727
Phone(651) 232-7800
Fax(651) 232-7940
Sole ProprietorNo
Enumeration DateMay 19, 2021
Last NPPES UpdateAugust 14, 20242 updates tracked since enumeration
NPPES CertifiedAugust 14, 2024
✔ NPI 1790359164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MN · 76498
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.
2945 HAZELWOOD ST STE 100, Maplewood, MN 55109
Open in Google Maps ↗

Secondary Practice Location 1

Location 12450 Riverside Avenue, Pediatrics Ed Office M136, 1st Floor, East BuildingMinneapolis, MN 55454 · Phone (612) 624-4477

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Mary Jancaric Md 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

4

Medicare enrollment records show Michelle Jancaric reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Healtheast Medical Research Institute
Same address
Clinic/Center
2945 HAZELWOOD ST STE 100
Maplewood, MN 55109
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,361 clinicians in this Medicare group
NPI 1073569943 (651) 232-7031
Healtheast St. John's Hospital
0.2 mi
General Acute Care Hospital
1575 BEAM AVE
Maplewood, MN 55109
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,178 clinicians in this Medicare group
NPI 1447218482 (651) 232-7000
Fairview Clinics
3.7 mi
Clinic/Center
1414 MARYLAND AVE E
Saint Paul, MN 55106
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,302 clinicians in this Medicare group
NPI 1124652557 (651) 772-3461
Healtheast Woodwinds Hospital
8.1 mi
General Acute Care Hospital
1925 WOODWINDS DR
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota enrollment
  • 955 clinicians in this Medicare group
NPI 1356309322 (651) 232-0100

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 55109 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 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEALTHEAST MEDICAL RESEARCH INSTITUTE
Clinic/Center
2945 HAZELWOOD ST STE 100
MAPLEWOOD, MN 55109
Ramsey County (651) 232-7031
MADELINE PAUL
Pediatrics
2945 HAZELWOOD ST STE 100
MAPLEWOOD, MN 55109
Ramsey County (651) 232-7800
MADISON THERESE BRICKNER MD
Internal Medicine
2945 HAZELWOOD ST STE 100
MAPLEWOOD, MN 55109
Ramsey County (651) 232-7800
RUTH H MCGOWAN PA-C
Physician Assistant (Medical)
2945 HAZELWOOD ST STE 100
MAPLEWOOD, MN 55109
Ramsey County (651) 232-7800
SALEHA RAAJPOOT
Family Medicine
2945 HAZELWOOD ST STE 100
MAPLEWOOD, MN 55109
Ramsey County (651) 232-7800
MATTHEW SANOCKI PA-C
Physician Assistant
2945 HAZELWOOD ST STE 100
MAPLEWOOD, MN 55109
Ramsey County (651) 232-7800
HOLLY BRANDENBURG DPT
Physical Therapist
2945 HAZELWOOD ST STE 100
MAPLEWOOD, MN 55109
Ramsey County (651) 232-7800
GEOFFREY S. FASEN M.D.
Surgery
2945 HAZELWOOD ST STE 100
MAPLEWOOD, MN 55109
Ramsey County (651) 227-6351

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 Michelle Jancaric's NPI number?

The NPI number for Michelle Jancaric is 1790359164. It was assigned to this individual provider in the NPPES registry on May 19, 2021.

Where is Michelle Jancaric located?

Michelle Jancaric practices at 2945 Hazelwood St Ste 100, Maplewood, MN 55109. The listed phone number is (651) 232-7800.

What is Michelle Jancaric's specialty?

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

Is Michelle Jancaric enrolled in Medicare?

Yes. Michelle Jancaric is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michelle Jancaric's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Jancaric reassigns Medicare benefits to 4 organizations: Healtheast Medical Research Institute (Maplewood, MN), Healtheast St. John's Hospital (Maplewood, MN), Fairview Clinics (Saint Paul, MN) and Healtheast Woodwinds Hospital (Woodbury, MN). 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 Michelle Jancaric's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michelle Jancaric was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.