Individual provider Active NPI

Jesse J Corry, MD

  • Neurology Physician
  • Bloomington, MN
National Provider Identifier
1215964499
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
58320 Issued in MN
Practice address
3601 Minnesota Dr Ste 200
Bloomington, MN 55435-5281
Phone
(612) 879-1000
Fax
(612) 879-9116
NPI assigned
Jun 26, 2006
Last updated
Aug 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2025-01025 NC
Neurology Physician 2084N0400X 01094509A IN
Neurology Physician 2084N0400X 58320 MN Primary
Neurology Physician 2084N0400X 47463-20 WI
Neurology Physician 2084N0400X MD61579794 WA
Neurology Physician 2084N0400X C198868 CA
Neurology Physician 2084N0400X 102556 GA
Neurology Physician 2084N0400X 2024047451 MO
Neurology Physician 2084N0400X 0101282914 VA

Addresses

Primary practice location

3601 Minnesota Dr Ste 200
Bloomington, MN 55435-5281

Mailing address

3601 Minnesota Dr Ste 200
Bloomington, MN 55435-5202
Phone (612) 879-1000

Other practice location 1

2211 NE 139th St
Vancouver, WA 98686-2742
Phone (360) 487-1000

Other practice location 2

16372 Kenrick Ave Ste 100
Lakeville, MN 55044-3504
Phone (612) 879-1000

Other practice location 3

8515 Eagle Point Blvd Ste 100
Lake Elmo, MN 55042-8624
Phone (612) 879-1000

Other practice location 4

1102 W 32nd St
Joplin, MO 64804-3503
Phone (417) 347-4570

Other practice location 5

1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
Phone (404) 851-8000

Other practice location 6

200 Hawthorne Ln
Charlotte, NC 28204-2515
Phone (704) 384-9437

Other practice location 7

1701 S Creasy Ln
Lafayette, IN 47905-4972
Phone (765) 502-4400

Other practice location 8

12200 Warwick Blvd Ste 110
Newport News, VA 23601-2344
Phone (757) 534-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, NY, WI, MN, IN, VA, FL, MS, NC, GA, WA, OR, NJ, CA, LA15 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 15

Enrollment IDStateProvider typePAC IDDetails
I20060920000469 MO Practitioner - Neurology 3577568823 Reassigns benefits to 2 organizations
I20080711000118 NY Practitioner - Neurology 3577568823 Reassigns benefits to 1 organization
I20111027000457 WI Practitioner - Neurology 3577568823 Reassigns benefits to 8 organizations
I20140729000823 MN Practitioner - Neurology 3577568823 Reassigns benefits to 8 organizations
I20240808000507 IN Practitioner - Neurology 3577568823 Reassigns benefits to 2 organizations
I20240822002524 VA Practitioner - Neurology 3577568823 Reassigns benefits to 1 organization
I20241107001582 FL Practitioner - Neurology 3577568823 Reassigns benefits to 1 organization
I20241223001686 MS Practitioner - Neurology 3577568823 Reassigns benefits to 1 organization
I20250508003445 NC Practitioner - Neurology 3577568823 Reassigns benefits to 2 organizations
I20250522002547 GA Practitioner - Neurology 3577568823 Reassigns benefits to 2 organizations
I20250909003168 WA Practitioner - Neurology 3577568823 Reassigns benefits to 2 organizations
I20251003003999 OR Practitioner - Neurology 3577568823 Reassigns benefits to 2 organizations
I20260316000185 NJ Practitioner - Neurology 3577568823 Reassigns benefits to 1 organization
I20260402002036 CA Practitioner - Neurology 3577568823 Reassigns benefits to 2 organizations
I20260613000529 LA Practitioner - Neurology 3577568823

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Medical College of Wisconsin, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians
Hendricks County HospitalGroup PAC ID 4880505528, 341 clinicians
North Atlanta Professional Services LLCGroup PAC ID 0840291944, 423 clinicians
Adventist Health System Georgia IncGroup PAC ID 4486568037, 247 clinicians
Freeman-Oak Hill Health SystemGroup PAC ID 8325942253, shared by 14 NPIs, 385 clinicians
Singing River Health SystemGroup PAC ID 3870405194, 290 clinicians

Practice addresses (Care Compare)

Woodbury, MN 55125
Phone (651) 262-9767

1000 E Main St
Danville, IN 46122-1948

1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (404) 851-8000

1035 Red Bud Rd NE
Calhoun, GA 30701-6010
Phone (706) 602-7800

1102 W 32 St
Joplin, MO 64804-3503

111 Hospital Dr
Tarboro, NC 27886-2011
Phone (252) 641-8585

7001 Hwy 614
Coastal Ambulatory Services
Hurley, MS 39555-5340
Phone (228) 588-6622

8244 E US Hwy 36
Avon, IN 46123-9688

8244 E US Hwy 36 1320
Avon Internal Medicine
Avon, IN 46123-9688
Phone (317) 272-7519

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C198868CAMDNeurology Physician
01094509AINMDNeurology Physician
58320MNMDNeurology Physician
2024047451MOMDNeurology Physician
2025-01025NCMDNeurology Physician
MD61579794WAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera St Marys CurrentSince Jan 1, 2020 Accepting new patients
St. Mary's Hospital of Superior Current Accepting new patients
Riverside Physician Services Inc CurrentSince Jun 30, 2024 Accepting new patients
Singing River Health System CurrentSince Nov 22, 2024 Accepting new patients
Lake Region Healthcare Corporation CurrentSince Nov 1, 2018 Accepting new patients
Wyoming County CurrentSince Aug 1, 2025 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
Silverton Health CurrentSince Sep 9, 2025 Accepting new patients
Deer River Healthcare Center, Inc. Current Accepting new patients
Burnett Medical Center Inc Current Accepting new patients
Franciscan Physician Network CurrentSince Jan 11, 2025 Accepting new patients
The Duluth Clinic, LTD. CurrentSince Jan 1, 2016 Accepting new patients
The Duluth Clinic, LTD CurrentSince Jan 1, 2016 Accepting new patients
Halifax Healthcare Systems Inc CurrentSince Oct 22, 2024 Accepting new patients
Lake Region Healthcare Corporation CurrentSince Nov 1, 2018 Accepting new patients
Novant Health Medical Group, LLC Neurology CurrentSince Sep 1, 2025 Accepting new patients
Hendricks County Hospital Neurology CurrentSince Aug 1, 2024 Accepting new patients
Wyoming County CurrentSince Aug 1, 2025 Accepting new patients
North Atlanta Professional Services LLC Psychiatry CurrentSince Jul 8, 2025 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Sep 9, 2025 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Agnesian Healthcare Inc CurrentSince Mar 1, 2026 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Sep 1, 2025 Accepting new patients
The Monroe Clinic, Inc. CurrentSince Dec 15, 2025 Accepting new patients
Multicare Health System CurrentSince Aug 1, 2025 Accepting new patients
Wyoming County Psychiatry Current Accepting new patients
Memorial Medical Center Inc CurrentSince Aug 7, 2016 Accepting new patients
Vidant Medical Group LLC CurrentSince May 1, 2025 Accepting new patients
Hendricks County Hospital Current Accepting new patients
Multicare Health System Current Accepting new patients
Hendricks County Hospital CurrentSince Aug 1, 2024 Accepting new patients
Allina Health System Current Accepting new patients
Northern Pines Medical Center Current Accepting new patients
Silverton Health Current Accepting new patients
Freeman-Oak Hill Health System Neurology CurrentSince Jun 12, 2025 Accepting new patients
Adventist Health System Georgia Inc CurrentSince Mar 3, 2025 Accepting new patients
Avera Granite Falls CurrentSince Mar 30, 2022 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Sep 9, 2025 Accepting new patients
Riverside Physician Services, Inc. Neurology CurrentSince Jun 30, 2024 Accepting new patients
Noran Neurological Clinic P.a. CurrentSince Aug 1, 2022 Accepting new patients
Avera St Marys CurrentSince Jan 1, 2020 Accepting new patients
Legacy Clinics LLC CurrentSince Sep 9, 2025 Accepting new patients
The Monroe Clinic, Inc. CurrentSince Dec 15, 2025 Accepting new patients
Memorial Medical Center Inc CurrentSince Aug 7, 2016 Accepting new patients
Wyoming County Current Accepting new patients
Multicare Health System CurrentSince Aug 1, 2025 Accepting new patients
Agnesian Healthcare Inc CurrentSince Mar 1, 2026 Accepting new patients
Allina Health System CurrentSince Aug 29, 2017 Accepting new patients
Silverton Health CurrentSince Sep 9, 2025 Accepting new patients
Freeman-Oak Hill Health System CurrentSince Jun 12, 2025 Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
Legacy Clinics LLC CurrentSince Sep 9, 2025 Accepting new patients
Medical Services, Inc Current Accepting new patients
North Oaks Medical Center, LLC CurrentSince Jan 19, 2026 Accepting new patients
Franciscan Physician Network CurrentSince Jan 11, 2025 Accepting new patients
Hendricks County Hospital Past Accepting new patients
Hendricks County Hospital Past Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients
Quest Diagnostics LLC Il Past Accepting new patients

Locations (25 of 65)

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

3300 E Halifax Crossing Blvd
Deltona, FL 32725
Phone (386) 425-1800

1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800

707 Old Dalton Ellijay Rd
Chatsworth, GA 30705
Phone (706) 517-2050

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

301 Satori Pkwy
Ste 150
Avon, IN 46123
Phone (317) 272-3662

8244 E US Highway 36
Ste 1100
Avon, IN 46123
Phone (317) 272-7500

8244 E US Highway 36
Ste 1340
Avon, IN 46123
Phone (317) 520-5510

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

1701 S Creasy Ln
Lafayette, IN 47905
Phone (765) 502-4400

1100 Southfield Dr
Ste 1370
Plainfield, IN 46168
Phone (317) 837-5570

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

5211 Highway 110
Aurora, MN 55705
Phone (218) 229-1010

523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394

320 E Main St
Crosby, MN 56441
Phone (218) 546-7000

115 10th Ave NE
Deer River, MN 56636
Phone (218) 246-2900

115 10th Ave NE
#A
Deer River, MN 56636
Phone (218) 246-8275

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

402 E 2nd St
Duluth, MN 55805
Phone (218) 786-3443

407 E 3rd St
Duluth, MN 55805
Phone (218) 786-4357

712 S Cascade St
Fergus Falls, MN 56537

250 Jordan Dr
Granite Falls, MN 56241
Phone (320) 522-0723

345 10th Ave
Granite Falls, MN 56241
Phone (320) 564-3111

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/e35355ac-dfca-48b9-9dd9-0b7c408c2a66/
  • FHIR API: https://sehproxy.stelizabeth.com/arr-fhir/api/FHIR/R4
  • Direct secure messaging: jcorry1737931@direct.novanthealth.org

Organizations & group practices 62

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 62

Hospital & facility affiliations 4

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1215964499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 MINNESOTA DR STE 200",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554355202",
            "telephone_number": "612-879-1000",
            "fax_number": "612-879-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 MINNESOTA DR STE 200",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554355281",
            "telephone_number": "612-879-1000",
            "fax_number": "612-879-9116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2211 NE 139th St",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986862742",
            "country_code": "US",
            "telephone_number": "360-487-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16372 Kenrick Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lakeville",
            "state": "MN",
            "postal_code": "550443504",
            "country_code": "US",
            "telephone_number": "612-879-1000",
            "fax_number": "612-879-9116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8515 Eagle Point Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lake Elmo",
            "state": "MN",
            "postal_code": "550428624",
            "country_code": "US",
            "telephone_number": "612-879-1000",
            "fax_number": "612-879-9116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1102 W 32nd St",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648043503",
            "country_code": "US",
            "telephone_number": "417-347-4570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Johnson Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421606",
            "country_code": "US",
            "telephone_number": "404-851-8000",
            "fax_number": "404-303-3759",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Hawthorne Ln",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282042515",
            "country_code": "US",
            "telephone_number": "704-384-9437",
            "fax_number": "704-384-9440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 S Creasy Ln",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479054972",
            "country_code": "US",
            "telephone_number": "765-502-4400",
            "fax_number": "765-502-4401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12200 Warwick Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236012344",
            "country_code": "US",
            "telephone_number": "757-534-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORRY",
        "first_name": "JESSE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2025-01025",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01094509A",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MN",
            "license": "58320",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "47463-20",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD61579794",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "C198868",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "102556",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2024047451",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101282914",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

Verify at the official NPI Registry.