Active NPI
Suzanne G Jasberg, MD
- Psychiatry Physician
- Maple Grove, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 55902
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nystrom & Associates, LTD | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| St. Croix Psychiatric, LLC | Psychiatry | Current | Accepting new patients |
| Ellie Family Services, PLLP | Current | 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.
-
- Clinical Social Worker
- New Brighton, MN
- NPI 1396750188
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
- Psychiatry Physician
- Woodbury, MN
- NPI 1881849586
-
- Community/Behavioral Health Agency
- Maple Grove, MN
- NPI 1770277279
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.