Individual provider Active NPI

Jessica A Healy, M.D.

  • Dermatology Physician
  • Saint Paul, MN
National Provider Identifier
1104046820
Registry record updated Oct 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
48236 Issued in MN
Practice address
3555 Willow Lake Blvd
Suite 240
Saint Paul, MN 55110-5131
Phone
(651) 770-0110
Fax
(651) 770-0134
NPI assigned
Apr 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 48236 MN Primary

Addresses

Primary practice location

3555 Willow Lake Blvd
Suite 240
Saint Paul, MN 55110-5131

Mailing address

3316 W 66TH St
Ste 200
Edina, MN 55435-2544
Phone (952) 303-8600

Other identifiers 1

IdentifierTypeStateIssuer
487468000MedicaidMN

Other names 1

  • Jessica L Alexander Former name

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
I20070621000106 MN Practitioner - Dermatology 8729187430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Mayo Medical School, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Specialists, PAGroup PAC ID 1456248137, 18 clinicians

Practice addresses (Care Compare)

3316 W 66TH St
Edina, MN 55435-2544
Phone (952) 920-3808

Hospital & facility affiliations

  • M Health Fairview Southdale Hospital Hospital, Edina, MN, CCN 240078

Merit-based Incentive Payment System (MIPS)

Final score
79.35 of 100Reported as group
Quality
58.09
Improvement activities
40
Cost
87.03

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions410
Removal or shaving of skin growth36
Skin biopsy132

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Specialists, PA Dermatology CurrentSince Apr 13, 2004 Accepting new patients

Locations

3316 W 66th St
Edina, MN 55435
Phone (952) 920-3808

3316 W 66th St
Ste 200
Minneapolis, MN 55435
Phone (612) 920-3808

Interoperability endpoints

  • Direct secure messaging: jhealy@directaddress.net

Organizations & group practices 1

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 3

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": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509321600000",
    "number": "1104046820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 W 66TH ST",
            "address_2": "STE 200",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352544",
            "telephone_number": "952-303-8600",
            "fax_number": "952-920-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 WILLOW LAKE BLVD",
            "address_2": "SUITE 240",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551105131",
            "telephone_number": "651-770-0110",
            "fax_number": "651-770-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEALY",
        "first_name": "JESSICA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2017-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "48236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "487468000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "ALEXANDER",
            "middle_name": "L",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.