Jerrica Maxson, AUD
Individual provider Active NPI Audiologist · Minot, ND
NPI 1366699779 · NPPES record last updated Apr 28, 2025
Key facts
- NPI
- 1366699779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 1137 (ND)
- Practice address
- 2305 37TH Ave SW
Minot, ND 58701-7669 - Phone
- (701) 857-5000
- NPI assigned
- Aug 27, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Qualified Audiologist
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Trinity Health
Practice addresses (Care Compare)
101 3Rd Ave SW
Minot, ND 58701-3880
Phone (701) 418-8000
Hospital & facility affiliations
- Trinity Hospitals
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.05 of 100
- Quality
- 60.57
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 77.93
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101105000301 | ND | Practitioner - Qualified Audiologist | 6709070568 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1137 | ND | MD | Registered Dietitian |
| 2008011536 | MO | MD | Audiologist |
| H-0366 | ND | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Health | Current |
Accepting new patients | |
| Trinity Health | Current |
Accepting new patients | |
| Trinity Health | Current | Accepting new patients |
Locations
2720 Dundee Rd
Northbrook, IL 60062
Phone (224) 226-5222
1 Burdick Expy W
Minot, ND 58701
Phone (701) 857-5124
2305 37th Ave SW
Minot, ND 58701
Phone (701) 418-8550
101 3rd Ave SW
Minot, ND 58701
Phone (701) 857-5286
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 2008011536 | MO | |
| Audiologist | 231H00000X | H-0366 | ND | |
| Audiologist | 231H00000X | 1137 | ND | Yes |
Addresses
Primary practice location
2305 37TH Ave SW
Minot, ND 58701-7669
Mailing address
PO Box 5010
Minot, ND 58702-5010
Phone (701) 418-8000
Other practice location 1
101 3rd Ave SW
Minot, ND 58701-3880
Phone (701) 857-5118
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Minot, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.