Individual provider Active NPI

Jessica L Nyholm, M.D.

  • Maternal & Fetal Medicine Physician
  • Maple Grove, MN
National Provider Identifier
1023098837
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
45811 Issued in MN
Practice address
9825 Hospital Dr Ste 270
Maple Grove, MN 55369-4820
Phone
(763) 581-5140
NPI assigned
Jan 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 45811 MN Primary

Addresses

Primary practice location

9825 Hospital Dr Ste 270
Maple Grove, MN 55369-4820

Mailing address

9825 Hospital Dr Ste 270
Maple Grove, MN 55369-4820
Phone (763) 581-5140

Other identifiers 1

IdentifierTypeStateIssuer
504146500MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051115000683 MN Practitioner - Obstetrics/Gynecology 4981623386 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Minnesota Medical School, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview ClinicsGroup PAC ID 7113830142, 799 clinicians
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians

Practice addresses (Care Compare)

10000 Zane Ave N
Brooklyn Park, MN 55443-1400
Phone (763) 572-5700

1575 Beam Ave
Maplewood, MN 55109-1126
Phone (651) 232-7000

1700 University Ave W
Saint Paul, MN 55104-3727

717 Delaware St SE
Suite 340
Minneapolis, MN 55414-2959
Phone (612) 672-7422

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care CurrentSince Jan 1, 2019 Accepting new patients
Northfield Hospital CurrentSince Jul 1, 2024 Accepting new patients
Healtheast St. John's Hospital CurrentSince Sep 1, 2020 Accepting new patients
University of Minnesota Physicians CurrentSince Aug 1, 2010 Accepting new patients
Fairview Clinics CurrentSince May 1, 2025 Accepting new patients
Fairview Clinics Current Accepting new patients
North Memorial Health Care CurrentSince Feb 19, 2011 Accepting new patients
Hennepin Healthcare System Inc CurrentSince Nov 6, 2024 Accepting new patients
University of Minnesota Health Clinics and Surgery Center Inc CurrentSince Jan 1, 2019 Accepting new patients
Hennepin Healthcare System, Inc Current Accepting new patients
St. Cloud Hospital Current Accepting new patients
North Memorial Health Care Current Accepting new patients
Northfield Hospital Current Accepting new patients
Fairview Health Services CurrentSince Sep 1, 2010 Accepting new patients
Fairview Clinics CurrentSince May 1, 2025 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Express Care Current Accepting new patients
University of Minnesota Health Clinics and Surgery Center, Inc. CurrentSince Jan 1, 2019 Accepting new patients
Healtheast Medical Research Institute CurrentSince Sep 1, 2020 Accepting new patients
St. Cloud Hospital CurrentSince Nov 15, 2011 Accepting new patients
Northfield Hospital CurrentSince Jul 1, 2024 Accepting new patients
Healtheast Medical Research Institute CurrentSince Sep 1, 2020 Accepting new patients
North Memorial Health Care CurrentSince Feb 19, 2011 Accepting new patients
Hennepin Healthcare System, Inc CurrentSince Nov 6, 2024 Accepting new patients
Fairview Health Services Current Accepting new patients
University of Minnesota Physicians Current Accepting new patients
St. Cloud Hospital CurrentSince Nov 15, 2011 Accepting new patients

Locations (25 of 27)

201 E Nicollet Blvd
Burnsville, MN 55337
Phone (952) 892-2000

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

4645 Knutsen Dr
Farmington, MN 55024
Phone (651) 460-2300

9825 Hospital Dr
Ste 270
Maple Grove, MN 55369

9855 Hospital Dr
Maple Grove, MN 55369
Phone (763) 581-5800

701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005

10000 Zane Ave N
Minneapolis, MN 55443
Phone (763) 528-6999

516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600

720 Washington Ave SE
Ste 300
Minneapolis, MN 55414
Phone (612) 884-0769

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

914 S 8th St
#D4
Minneapolis, MN 55404
Phone (612) 347-6450

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

606 24th Ave S
Ste 400
Minneapolis, MN 55454
Phone (612) 273-2223

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

420 Delaware St SE
#395
Minneapolis, MN 55455
Phone (612) 301-3417

6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477

715 S 8th St
Minneapolis, MN 55404
Phone (612) 873-6010

2000 North Ave
Northfield, MN 55057
Phone (507) 646-1000

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

3300 Oakdale Ave N
Apt 180
Robbinsdale, MN 55422
Phone (763) 581-5140

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

69 Exchange St W
Saint Paul, MN 55102
Phone (651) 232-1100

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

Interoperability endpoints

  • Direct secure messaging: jnyholm40731@fairview.direct-ci.com

Organizations & group practices 28

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.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1023098837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9825 HOSPITAL DR STE 270",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694820",
            "telephone_number": "763-581-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9825 HOSPITAL DR STE 270",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694820",
            "telephone_number": "763-581-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYHOLM",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MN",
            "license": "45811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "504146500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

Verify at the official NPI Registry.