Individual provider Active NPI

Jennifer C Hsia, MD

  • Otolaryngology Physician
  • Blaine, MN
National Provider Identifier
1174633184
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
76417 Issued in WI
Practice address
4365 Pheasant Ridge Dr NE Ste 106
Blaine, MN 55449-4544
Phone
(888) 938-3838
Fax
(888) 919-1083
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 55650 MN
Otolaryngology Physician 207Y00000X 76417 WI Primary

Addresses

Primary practice location

4365 Pheasant Ridge Dr NE Ste 106
Blaine, MN 55449-4544

Mailing address

10001 W Innovation Dr Ste 200
Milwaukee, WI 53226-4851
Phone (888) 938-3838

Other practice location 1

8500 75th Street
Suite 101
Pleasant Prairie, WI 53158-2049
Phone (888) 938-3838

Other practice location 2

845 Vikings Pkwy Ste 3
Eagan, MN 55121-1139
Phone (888) 938-3838

Other practice location 3

2885 N Mayfair Rd
Wauwatosa, WI 53222-4404
Phone (888) 938-3838

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
I20120924000417 MN Practitioner - OtolaryngologyPractitioner - Sleep Medicine 6204013550 Reassigns benefits to 2 organizations
I20211214001778 WI Practitioner - OtolaryngologyPractitioner - Sleep Medicine 6204013550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Sleep Medicine
Education
University of Alabama School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear Institutes LLCGroup PAC ID 4880928761, 12 clinicians

Practice addresses (Care Compare)

845 Vikings Pkwy
Suite B
Eagan, MN 55121-1139
Phone (888) 938-3838

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76417WIMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Institutes, LLC Otolaryngology CurrentSince Jul 1, 2023 Accepting new patients
Advanced Ear Nose & Throat Specialists, SC CurrentSince Jan 1, 2022 Accepting new patients
Advanced Ear Nose & Throat Specialists, SC Otolaryngology CurrentSince Jan 1, 2022 Accepting new patients
Fairview Health Services Current Accepting new patients
Fairview Health Services CurrentSince Apr 1, 2015 Accepting new patients
Fairview Express Care CurrentSince Apr 1, 2015 Accepting new patients
University of Minnesota Physicians Past Accepting new patients

Locations

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400

845 Vikings Pkwy
Ste B
Eagan, MN 55121
Phone (651) 650-0500

845 Vikings Pkwy
Ste 3
Eagan, MN 55121

6640 Shady Oak Rd
Ste 255
Eden Prairie, MN 55344

14500 99th Ave N
Ste 1210
Maple Grove, MN 55369
Phone (763) 898-1778

9325 Upland Ln N
Ste 200
Maple Grove, MN 55369

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

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

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

4365 Pheasant Ridge Dr NE
Ste 106
Minneapolis, MN 55449
Phone (763) 296-3277

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

420 Delaware St SE
#126
Minneapolis, MN 55455
Phone (612) 626-2378

720 Washington Ave SE
Ste 200
Minneapolis, MN 55414
Phone (612) 730-1345

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

8401 Seasons Pkwy
Ste 300
Woodbury, MN 55125

247 S Nicolet Rd
Appleton, WI 54914

2654 S Oneida St
Stop 102
Green Bay, WI 54304

500 W Drexel Ave
Ste 300
Oak Creek, WI 53154

2885 N Mayfair Rd
Wauwatosa, WI 53222
Phone (414) 615-7044

10001 W Innovation Dr
Ste 200
Wauwatosa, WI 53226

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1174633184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 W INNOVATION DR STE 200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264851",
            "telephone_number": "888-938-3838",
            "fax_number": "888-919-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4365 PHEASANT RIDGE DR NE STE 106",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554494544",
            "telephone_number": "888-938-3838",
            "fax_number": "888-919-1083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8500 75th Street",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Pleasant Prairie",
            "state": "WI",
            "postal_code": "531582049",
            "country_code": "US",
            "telephone_number": "888-938-3838",
            "fax_number": "888-919-1083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "845 Vikings Pkwy Ste 3",
            "address_purpose": "LOCATION",
            "city": "Eagan",
            "state": "MN",
            "postal_code": "551211139",
            "country_code": "US",
            "telephone_number": "888-938-3838",
            "fax_number": "888-919-1083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2885 N Mayfair Rd",
            "address_purpose": "LOCATION",
            "city": "Wauwatosa",
            "state": "WI",
            "postal_code": "532224404",
            "country_code": "US",
            "telephone_number": "888-938-3838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HSIA",
        "first_name": "JENNIFER",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MN",
            "license": "55650",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WI",
            "license": "76417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blaine, MN

Sources for this page

Verify at the official NPI Registry.