Individual provider Active NPI

Jaspreet K Prischmann, MD

  • Facial Plastic Surgery Physician
  • Minneapolis, MN
National Provider Identifier
1710996921
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
48598 Issued in MN
Practice address
701 Xenia Ave S Ste 450
Minneapolis, MN 55416-1082
Phone
(952) 567-7151
Fax
(952) 567-7154
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 48598 MN
Otolaryngology Physician 207Y00000X 38065 AZ
Facial Plastic Surgery Physician 207YS0123X 48598 MN Primary

Addresses

Primary practice location

701 Xenia Ave S Ste 450
Minneapolis, MN 55416-1082

Mailing address

701 Xenia Ave S Ste 450
Minneapolis, MN 55416-1082
Phone (952) 567-7151

Other identifiers 2

IdentifierTypeStateIssuer
P00632050OtherMNRAILROAD MEDICARE
966487000MedicaidMN

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
I20060907000038 MN Practitioner - Otolaryngology 6406850353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Louisiana State University School of Medicine in Shreveport, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

701 Xenia Ave S
Suite 450
Golden Valley, MN 55416-1082
Phone (952) 567-7151

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38065AZMDOtolaryngology Physician
48598MNMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uptown Dermatology & Skin Spa, P.a. Current Accepting new patients
Prischmann Facial Plastic Surgery, PLLC CurrentSince Feb 15, 2012 Accepting new patients

Locations

5201 Eden Ave
Ste 170
Minneapolis, MN 55436
Phone (952) 567-7151

701 Xenia Ave S
Ste 450
Minneapolis, MN 55416
Phone (952) 567-7151

Organizations & group practices 2

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1710996921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 XENIA AVE S STE 450",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554161082",
            "telephone_number": "952-567-7151",
            "fax_number": "952-567-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 XENIA AVE S STE 450",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554161082",
            "telephone_number": "952-567-7151",
            "fax_number": "952-567-7154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRISCHMANN",
        "first_name": "JASPREET",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MN",
            "license": "48598",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AZ",
            "license": "38065",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "MN",
            "license": "48598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00632050",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "966487000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.