Active NPI
Jessica Piche, MD
- Neurology Physician
- Edina, MN
National Provider Identifier
1376039412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 73819
- Practice address
- 3400 W 66TH St Ste 150
Edina, MN 55435-2109 - Phone
- (952) 920-7200
- Fax
- (763) 287-2303
- NPI assigned
- Jul 2, 2018
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 73819 | MN | Primary |
Addresses
Primary practice location
3400 W 66TH St Ste 150
Edina, MN 55435-2109
Mailing address
3400 W 66TH St Ste 150
Edina, MN 55435-2109
Phone (952) 920-7200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Sanford School of Medicine of University of South Dakota, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4225 Golden Valley Rd
Golden Valley, MN 55422-4215
Phone (763) 588-0661
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73819 | MN | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minneapolis Clinic of Neurology, LTD | Neurology | Current | Accepting new patients |
| Regents of the University of Michigan | Current | Accepting new patients | |
| Regents of the University of Michigan | Neurology | Current | Accepting new patients |
| Regents of the University of Michigan | Current | Accepting new patients | |
| Laboratory Corportation of America Holdings | Past | Accepting new patients |
Locations
1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280
3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229
4225 Golden Valley Rd
Minneapolis, MN 55422
Phone (612) 588-0661
3400 W 66th St
Ste 150
Minneapolis, MN 55435
Phone (952) 920-7200
Interoperability endpoints
- jpiche198572@direct.northmemorial.com
Organizations & group practices 5
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.
-
- Neurology Physician
- Golden Valley, MN
- NPI 1992739247
-
- Internal Medicine Physician
- Ann Arbor, MI
- NPI 1205868353
-
- Neurology Physician
- Ann Arbor, MI
- NPI 1053343004
-
- Specialty Pharmacy
- Dexter, MI
- NPI 1952181919
-
- Clinical Medical Laboratory
- Edina, MN
- NPI 1316442478
Hospital & facility affiliations 28
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obesity Medicine (Family Medicine) Physician
- Minneapolis, MN
- NPI 1154684835
Hospital
-
- Physical Medicine & Rehabilitation Physician
- Minneapolis, MN
- NPI 1275577215
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766448000000",
"number": "1376039412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 W 66TH ST STE 150",
"city": "EDINA",
"state": "MN",
"postal_code": "554352109",
"telephone_number": "952-920-7200",
"fax_number": "763-287-2303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 W 66TH ST STE 150",
"city": "EDINA",
"state": "MN",
"postal_code": "554352109",
"telephone_number": "952-920-7200",
"fax_number": "763-287-2303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICHE",
"first_name": "JESSICA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-02",
"last_updated": "2025-12-23",
"certification_date": "2025-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MN",
"license": "73819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.