Individual provider Active NPI

Jason Sanford Wolff, M.D.

  • Interventional Pain Medicine Physician
  • Maple Grove, MN
National Provider Identifier
1376759845
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
49469 Issued in MN
Practice address
9645 Grove Cir N Ste 200
Maple Grove, MN 55369
Phone
(763) 201-8191
Fax
(763) 201-8192
NPI assigned
May 14, 2007
Last updated
Jun 13, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 2004011783 MO
Interventional Pain Medicine Physician 208VP0014X 49469 MN Primary

Addresses

Primary practice location

9645 Grove Cir N Ste 200
Maple Grove, MN 55369

Mailing address

9645 Grove Cir N Ste 200
Maple Grove, MN 55369-4466
Phone (763) 201-8191

Other identifiers 1

IdentifierTypeStateIssuer
49469OtherMNMN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070622000217 MN Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 7315046927 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Creighton University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interventional Spine and Pain Physicians PAGroup PAC ID 2466606264, 42 clinicians

Practice addresses (Care Compare)

9645 Grove Cir N
Suite 200
Maple Grove, MN 55369-2684
Phone (763) 201-8191

Merit-based Incentive Payment System (MIPS)

Final score
82.2 of 100Reported as individual
Quality
58.62
Promoting interoperability
98
Improvement activities
40
Cost
71.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2004011783MOMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Centers of Minnesota - Chaska, LLC CurrentSince May 29, 2020 Accepting new patients
Anesthesia Associates, PLLC CurrentSince Feb 1, 2013 Accepting new patients
Metropolitan Surgical Center, LLC CurrentSince Nov 1, 2017 Accepting new patients
Interventional Spine and Pain Physicians, PA Interventional Pain Medicine CurrentSince Feb 1, 2013 Accepting new patients

Locations

3000 Hundertmark Rd
Ste 200
Chaska, MN 55318
Phone (952) 479-6304

3000 Hundertmark Rd
Ste 250
Chaska, MN 55318
Phone (507) 625-7246

916 Saint Peter Ave E
Delano, MN 55328
Phone (763) 972-9172

7700 France Ave S
Ste 240
Edina, MN 55435
Phone (952) 908-2700

7700 France Ave S
Ste 260
Edina, MN 55435

9600 Upland Ln N
Ste 160
Maple Grove, MN 55369

9645 Grove Cir N
Ste 200
Maple Grove, MN 55369
Phone (763) 300-2193

9645 Grove Cir N
Ste 250
Maple Grove, MN 55369

1856 Beam Ave
#100
Maplewood, MN 55109

1601 Saint Francis Ave
Ste 200
Shakopee, MN 55379
Phone (952) 428-2001

Interoperability endpoints

  • Direct secure messaging: jason.wolff@isp.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1376759845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9645 GROVE CIR N STE 200",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694466",
            "telephone_number": "763-201-8191",
            "fax_number": "763-201-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9645 GROVE CIR N STE 200",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "55369",
            "telephone_number": "763-201-8191",
            "fax_number": "763-201-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFF",
        "first_name": "JASON",
        "middle_name": "SANFORD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MO",
            "license": "2004011783",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MN",
            "license": "49469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN LICENSE",
            "identifier": "49469",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

Verify at the official NPI Registry.