Individual provider Active NPI

Jacinda Elyse Siberio, MD

  • Obstetrics & Gynecology Physician
  • Burnsville, MN
National Provider Identifier
1083904049
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
59435 Issued in MN
Practice address
303 E Nicollet Blvd Ste 100
Burnsville, MN 55337-4588
Phone
(952) 460-4000
NPI assigned
Apr 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 60168 WI
Obstetrics & Gynecology Physician 207V00000X 59435 MN Primary

Addresses

Primary practice location

303 E Nicollet Blvd Ste 100
Burnsville, MN 55337-4588

Mailing address

303 E Nicollet Blvd Ste 100
Burnsville, MN 55337-4588

Other names 1

  • Jacinda Elyse Hunter Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jacinda.siberio@nor.eclinicaldirectplus.com

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
I20150813010642 MN Practitioner - Obstetrics/Gynecology 3274848643 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical College of Wisconsin, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview ClinicsGroup PAC ID 7113830142, 799 clinicians

Practice addresses (Care Compare)

303 E Nicollet Blvd
Suite 160
Burnsville, MN 55337-4588
Phone (952) 460-4000

Hospital & facility affiliations

  • M Health Fairview Ridges Hospital Hospital, Burnsville, MN, CCN 240207

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59435MNMDObstetrics & Gynecology Physician
60168WIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Clinics CurrentSince Jun 14, 2025 Accepting new patients
Fairview Clinics CurrentSince Jun 14, 2025 Accepting new patients
Fairview Clinics Current Accepting new patients
North Clinic, PA Obstetrics & Gynecology CurrentSince Sep 1, 2015 Accepting new patients
Planned Parenthood Minnesota, North Dakota, South Dakota CurrentSince Sep 12, 2016 Accepting new patients
North Clinic, PA CurrentSince Sep 1, 2015 Accepting new patients
Fairview Clinics Past Accepting new patients
Maple Grove Hospital Corporation Past Accepting new patients
Fairview Health Services Past Accepting new patients

Locations

303 E Nicollet Blvd
Ste 160
Burnsville, MN 55337
Phone (952) 460-4000

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

9825 Hospital Dr
Ste 300
Maple Grove, MN 55369
Phone (763) 494-7500

600 W 98th St
Minneapolis, MN 55420
Phone (952) 881-2651

5109 36th Ave N
Minneapolis, MN 55422
Phone (630) 632-2648

9201 W Broadway Ave
Ste 601
Minneapolis, MN 55445
Phone (763) 587-7933

50 Central Ave
Osseo, MN 55369
Phone (612) 588-4625

671 Vandalia St
Saint Paul, MN 55114
Phone (651) 696-5674

Interoperability endpoints

  • Direct secure messaging: jsiberio2669657@fairview.direct-ci.com

Organizations & group practices 9

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1083904049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E NICOLLET BLVD STE 100",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E NICOLLET BLVD STE 100",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374588",
            "telephone_number": "952-460-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBERIO",
        "first_name": "JACINDA",
        "middle_name": "ELYSE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-12",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "60168",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MN",
            "license": "59435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jacinda.siberio@nor.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "9825 Hospital Drive",
            "address_2": "Suite 300",
            "city": "Maple Grove",
            "state": "MN",
            "country_code": "US",
            "postal_code": "55369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JACINDA",
            "last_name": "HUNTER",
            "middle_name": "ELYSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burnsville, MN

Sources for this page

Verify at the official NPI Registry.