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JUSTIN DAVID JEFFREY
NPI 1942670039
Social Worker - Clinical in Edina, MN

Active since October 01, 2015PECOS Enrolled
6550 YORK AVE S STE 417, EDINA, MN 55435(952) 426-3034 Get Directions Write a Review

NPPES record last updated: January 31, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 31, 2023, Oct 1, 2015 (2 updates tracked since 2015).

About Justin David Jeffrey NPPES

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

JUSTIN DAVID JEFFREY (NPI 1942670039) is an individual clinical provider in Edina, Minnesota, licensed in Minnesota (22560) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1942670039
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJUSTIN DAVID JEFFREY
Location Address6550 YORK AVE S STE 417Edina, MN 55435-2336
Mailing Address6550 York Ave S Ste 417Edina, MN 55435-2336 · (952) 426-3034
Phone(952) 426-3034
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 1, 2015
Last NPPES UpdateJanuary 31, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2023
✔ NPI 1942670039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 22560
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
6550 YORK AVE S STE 417, Edina, MN 55435
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin David Jeffrey is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577867035
PECOS Enrollment IDI20160204000547
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

5

Medicare enrollment records show Justin Jeffrey reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mary Mullenbach, Phd, LP, Inc
Same address
Psychologist
6550 YORK AVE. S., SUITE 503
Edina, MN 55435
  • Reassigned Medicare billing, Minnesota enrollment
  • 22 clinicians in this Medicare group
NPI 1801182837 (612) 801-3316
Fairview Express Care
0.2 mi
Clinic/Center
3400 W 66TH ST, STE 400
Edina, MN 55435
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
NPI 1659509552 (612) 672-6999
Healtheast Medical Research Institute
8.7 mi
Internal Medicine
1700 UNIVERSITY AVE W, 6TH FLOOR WEST
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,361 clinicians in this Medicare group
NPI 1508191552 (651) 232-2273
Healtheast St. John's Hospital
8.7 mi
Anesthesiology
1700 UNIVERSITY AVE W
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,178 clinicians in this Medicare group
NPI 1558240853 (855) 324-7843
Healtheast Woodwinds Hospital
17 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 55435 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
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

Other Providers at the Same Location NPPES 9

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

MAGGIE JO KATZENMAIER RAGONE LPCC
Counselor (Mental Health)
6550 YORK AVE S STE 417
EDINA, MN 55435
Hennepin County (952) 426-3034
AMANDA BARRIOS-EGAN
Counselor (Professional)
6550 YORK AVE S STE 417
EDINA, MN 55435
Hennepin County (952) 426-3034
ANNA GANTER
Social Worker (Clinical)
6550 YORK AVE S STE 417
EDINA, MN 55435
Hennepin County (952) 426-3034
MS. ROBIN MARANDA HICKS LPCC
Counselor (Professional)
6550 YORK AVE S STE 417
EDINA, MN 55435
Hennepin County (952) 426-3034
MRS. WEI LIU L.AC
Acupuncturist
6550 YORK AVE S STE 417
EDINA, MN 55435
Hennepin County (952) 926-4011
ASHLEY BAUCH LADC, LPCC
Counselor (Mental Health)
6550 YORK AVE S STE 417
EDINA, MN 55435
Hennepin County (952) 426-3034
MEGAN RUANE LPCC, LADC
Counselor (Mental Health)
6550 YORK AVE S STE 417
EDINA, MN 55435
Hennepin County (262) 227-3811
JONATHAN WALTERS
Social Worker
6550 YORK AVE S STE 417
EDINA, MN 55435
Hennepin County (952) 426-3034

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 Justin Jeffrey's NPI number?

The NPI number for Justin Jeffrey is 1942670039. It was assigned to this individual provider in the NPPES registry on October 1, 2015.

Where is Justin Jeffrey located?

Justin Jeffrey practices at 6550 York Ave S Ste 417, Edina, MN 55435. The listed phone number is (952) 426-3034.

What is Justin Jeffrey's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Justin Jeffrey enrolled in Medicare?

Yes. Justin Jeffrey is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Justin Jeffrey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Jeffrey reassigns Medicare benefits to 5 organizations: Mary Mullenbach, Phd, LP, Inc (Edina, MN), Fairview Express Care (Edina, MN), Healtheast Medical Research Institute (Saint Paul, MN), Healtheast St. John's Hospital (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 Justin Jeffrey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Jeffrey accept?

Health plans from HealthPartners and Sanford Health Plan list Justin Jeffrey 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.

When was this NPI record last updated?

The NPPES record for Justin Jeffrey was last updated on January 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.