Organization Active NPI

Made Medical and Aesthetics PLLC

  • Nurse Practitioner
  • Edina, MN
National Provider Identifier
1417604513
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
MADE MEDICAL AND AESTHETICS PLLC
Practice address
4934 Lincoln Dr
Edina, MN 55436-1071
Phone
(701) 318-6277
NPI assigned
Mar 8, 2022
Last updated
Aug 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Authorized official

Name
Jill Duchscherer, FNP-CNPI 1326674433
Title
Owner/Medical Director
Phone
(701) 318-6277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary
Procedural Dermatology Physician 207NS0135X NU

Addresses

Primary practice location

4934 Lincoln Dr
Edina, MN 55436-1071

Mailing address

4934 Lincoln Dr
Edina, MN 55436-1071
Phone (701) 318-6277

National Provider Directory

National Provider Directory

Locations

10260 Viking Dr
Ste 63
Eden Prairie, MN 55344
Phone (701) 318-6277

4934 Lincoln Dr
Edina, MN 55436

3985 56th St S
Unit E
Fargo, ND 58104
Phone (701) 226-1560

5171 44th St S
Fargo, ND 58104
Phone (701) 237-1100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1417604513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4934 LINCOLN DR",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554361071",
            "telephone_number": "701-318-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4934 LINCOLN DR",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554361071",
            "telephone_number": "701-318-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADE MEDICAL AND AESTHETICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-08",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A",
        "authorized_official_last_name": "DUCHSCHERER",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "701-318-6277",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.