Active NPI
Jeanne D Mrozek, MD
- Neonatal-Perinatal Medicine Physician
- Maple Grove, MN
National Provider Identifier
1144274176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 36642
- Practice address
- 9325 Upland Lane N
Suite 360
Maple Grove, MN 55369 - Phone
- (612) 813-6475
- NPI assigned
- May 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 36642 | MN | Primary |
Addresses
Primary practice location
9325 Upland Lane N
Suite 360
Maple Grove, MN 55369
Mailing address
9325 Upland Lane N
Suite 360
Maple Grove, MN 55369
Phone (612) 813-6475
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210427001902 | MN | Order and Referring Only - Pediatric Medicine | 0244295483 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minnesota Neonatal Physicians PA | Neonatal-Perinatal Medicine | Past | Accepting new patients |
| Children'S Hospital of Orange County | Past | Accepting new patients | |
| Maple Grove Hospital Corporation | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Maple Grove, MN
- NPI 1225272552
-
- Neonatal-Perinatal Medicine Physician
- Maple Grove, MN
- NPI 1881690097
-
- Pediatric Critical Care Medicine Physician
- Orange, CA
- NPI 1205179132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547683200000",
"number": "1144274176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9325 UPLAND LANE N",
"address_2": "SUITE 360",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "55369",
"telephone_number": "612-813-6475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9325 UPLAND LANE N",
"address_2": "SUITE 360",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "55369",
"telephone_number": "612-813-6475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MROZEK",
"first_name": "JEANNE",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-22",
"last_updated": "2019-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "MN",
"license": "36642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maple Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.