Individual provider Active NPI

Suzanne G Jasberg, MD

  • Psychiatry Physician
  • Maple Grove, MN
National Provider Identifier
1679891196
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
55902 Issued in MN
Practice address
7767 Elm Creek Blvd N Ste 220
Maple Grove, MN 55369-7067
Phone
(651) 313-8080
NPI assigned
May 7, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 55902 MN Primary

Addresses

Primary practice location

7767 Elm Creek Blvd N Ste 220
Maple Grove, MN 55369-7067

Mailing address

1370 Mendota Heights Rd
Mendota Heights, MN 55120-1281
Phone (651) 313-8080

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
I20140725001548 MN Practitioner - Psychiatry 0941426043 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Minnesota Medical School, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nystrom and Associates LTDGroup PAC ID 6406752492, 590 clinicians

Practice addresses (Care Compare)

7767 Elm Creek Blvd N
Suite 220
Maple Grove, MN 55369-7067
Phone (651) 313-8080

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nystrom & Associates, LTD CurrentSince Apr 13, 2026 Accepting new patients
Fairview Health Services CurrentSince Aug 15, 2014 Accepting new patients
Fairview Health Services CurrentSince Aug 15, 2014 Accepting new patients
Fairview Health Services Current Accepting new patients
St. Croix Psychiatric, LLC Psychiatry CurrentSince Jan 4, 2017 Accepting new patients
Ellie Family Services, PLLP CurrentSince Jun 11, 2023 Accepting new patients

Locations

4820 77th St W
Ste 130
Edina, MN 55435
Phone (320) 591-3559

4150 Olson Memorial Hwy
Ste 110
Golden Valley, MN 55422
Phone (763) 301-9998

7767 Elm Creek Blvd N
Ste 220240
Maple Grove, MN 55369

7767 Elm Creek Blvd N
Ste 220
Maple Grove, MN 55369
Phone (612) 516-5660

1370 Mendota Heights Rd
Mendota Heights, MN 55120
Phone (651) 583-4447

2450 Riverside Ave
Ste F275
Minneapolis, MN 55454
Phone (612) 273-1300

2125 E Hennepin Ave
Ste 100
Minneapolis, MN 55413
Phone (612) 217-2055

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

6363 France Ave S
Minneapolis, MN 55435
Phone (952) 230-9100

9400 Zane Ave N
Minneapolis, MN 55443
Phone (763) 383-5800

6363 France Ave S
Ste 200
Minneapolis, MN 55435
Phone (952) 230-9100

12400 Whitewater Dr
Ste 140
Minnetonka, MN 55343
Phone (952) 479-0640

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1150 Montreal Ave
Ste 107
Saint Paul, MN 55116
Phone (651) 303-8080

652 Bielenberg Dr
Ste 104
Woodbury, MN 55125
Phone (651) 529-4328

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1679891196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 MENDOTA HEIGHTS RD",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201281",
            "telephone_number": "651-313-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7767 ELM CREEK BLVD N STE 220",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697067",
            "telephone_number": "651-313-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASBERG",
        "first_name": "SUZANNE",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-07",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "55902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

Verify at the official NPI Registry.