Individual provider Active NPI

Jessica Ann Thomes Pepin, M.D.

  • Gynecologic Oncology Physician
  • Woodbury, MN
National Provider Identifier
1013159029
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
61218 Issued in MN
Practice address
6025 Lake Rd Ste 110
Woodbury, MN 55125
Phone
(651) 735-7414
Fax
(651) 735-1827
NPI assigned
Apr 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 61218 MN
Student in an Organized Health Care Education/Training Program 390200000X
Gynecologic Oncology Physician 207VX0201X 61218 MN Primary

Addresses

Primary practice location

6025 Lake Rd Ste 110
Woodbury, MN 55125

Mailing address

6025 Lake Rd Ste 110
Woodbury, MN 55125-1709
Phone (651) 735-7414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161123001920 MN Practitioner - Gynecological OncologyPractitioner - Obstetrics/Gynecology 4486829504 Reassigns benefits to 1 organization
I20240603001539 WI Practitioner - Gynecological Oncology 4486829504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
University of Minnesota Medical School, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minnesota Oncology Hematology PAGroup PAC ID 6709799752, 131 clinicians

Practice addresses (Care Compare)

2651 Hillcrest Dr
Suite 105
Hudson, WI 54016-9919
Phone (715) 531-6800

6025 Lake Rd
Suite 110
Woodbury, MN 55125-1709
Phone (651) 735-7414

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.19 of 100Reported as apm
Quality
72.34
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of the uterus22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
61218MNMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Oncology Hematology PA CurrentSince Aug 1, 2016 Accepting new patients
Minnesota Oncology Hematology, PA Gynecologic Oncology CurrentSince Apr 20, 2024 Accepting new patients
Minnesota Oncology Hematology, PA Gynecologic Oncology CurrentSince Aug 1, 2016 Accepting new patients
Minnesota Oncology Hematology, PA Gynecologic Oncology Past Accepting new patients
Minnesota Oncology Hematology, PA PastSince Jan 12, 2020 Accepting new patients
Minnesota Oncology Hematology PA Gynecologic Oncology PastSince Jan 14, 2024 Accepting new patients

Locations

1175 Paysphere Cir
Chicago, IL 60674

675 E Nicollet Blvd
Ste 100
Burnsville, MN 55337
Phone (952) 435-8516

110105 Pioneer Trl W
Chaska, MN 55318
Phone (952) 361-5800

10150 Niagara Ln N
#100
Maple Grove, MN 55369
Phone (763) 220-1316

11850 Blackfoot St NW
Ste 100
Minneapolis, MN 55433
Phone (763) 712-2100

910 E 26th St
Ste 100200
Minneapolis, MN 55404
Phone (612) 884-6300

6545 France Ave S
Ste 210
Minneapolis, MN 55435
Phone (952) 928-2900

480 Osborne Rd NE
Ste 220
Minneapolis, MN 55432
Phone (763) 786-1620

2805 Campus Dr
Ste 105
Plymouth, MN 55441
Phone (763) 519-7440

2550 University Ave W
Ste 110N
Saint Paul, MN 55114
Phone (651) 602-5309

310 Smith Ave N
Ste 100
Saint Paul, MN 55102
Phone (651) 251-5500

2550 University Ave W
Ste 105N
Saint Paul, MN 55114
Phone (651) 602-5335

1580 Beam Ave
Saint Paul, MN 55109
Phone (651) 255-8480

560 S Maple St
Ste 100
Waconia, MN 55387
Phone (952) 442-6006

6025 Lake Rd
Ste 110
Woodbury, MN 55125
Phone (651) 735-7414

2651 Hillcrest Dr
Ste 105
Hudson, WI 54016
Phone (715) 280-9151

Interoperability endpoints

  • Direct secure messaging: jessica.thomespepin@moh.ikm.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 38

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 38

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1013159029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 LAKE RD STE 110",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251709",
            "telephone_number": "651-735-7414",
            "fax_number": "651-735-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 LAKE RD STE 110",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "55125",
            "telephone_number": "651-735-7414",
            "fax_number": "651-735-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMES PEPIN",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MN",
            "license": "61218",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "MN",
            "license": "61218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

Verify at the official NPI Registry.