Active NPI
Jane Allison Bailey, M.D.
- Neuro-ophthalmology Physician
- St Louis Park, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuro-ophthalmology Physician
- License
- 65267
- Practice address
- 3900 Park Nicollet Blvd
St Louis Park, MN 55416-2505 - Phone
- (952) 993-3150
- NPI assigned
- Sep 14, 2005
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD-44203 | IA | |
| Ophthalmology Physician | 207W00000X | 21427 | NE | |
| Ophthalmology Physician | 207W00000X | 65267 | MN | |
| Neuro-ophthalmology Physician | 207WX0109X | 65267 | MN | Primary |
Addresses
Primary practice location
3900 Park Nicollet Blvd
St Louis Park, MN 55416-2505
Mailing address
8170 33Rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516
Other practice location 1
200 Hawkins Dr Dept Of
Iowa City, IA 52242-1009
Phone (319) 356-1951
Other practice location 2
200 Hawkins Dr Dept Of
Iowa City, IA 52242-1009
Phone (319) 356-1951
Other practice location 3
8141 W Center Rd
Suite 100
Omaha, NE 68124-3273
Phone (402) 391-1100
Other practice location 4
4001 Stinson Blvd Ste 100
Minneapolis, MN 55421-3425
Phone (612) 338-4861
Other practice location 5
825 Nicollet Mall Ste 2000
Minneapolis, MN 55402
Phone (612) 338-4861
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025118100 | Medicaid | NE |
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
- Ophthalmology
- Education
- University of Minnesota Medical School, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
300 Lake Dr E
Chanhassen, MN 55317-9302
Phone (952) 993-4300
3800 Park Nicollet Blvd
St Louis Park, MN 55416-2527
Phone (952) 993-3123
3850 Park Nicollet Blvd
St Louis Park, MN 55416-2527
Phone (952) 993-3123
5320 Hyland Greens Dr
Bloomington, MN 55437-3934
Phone (952) 993-2400
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Nicollet Clinic | Current | Accepting new patients | |
| Physicians Clinic Inc | Current | Accepting new patients | |
| Park Nicollet Clinic | Current | Accepting new patients | |
| Eyeoptics LLC | Past | Accepting new patients | |
| Eye Consultants PC | Ophthalmology | Past | Accepting new patients |
| Jane Bailey MD PC | Ophthalmology | Past | Accepting new patients |
Locations
5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
3900 Park Nicollet Blvd
St Louis Park, MN 55416
Phone (952) 993-3017
10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405
8111 Dodge St
Ste 143
Omaha, NE 68114
Phone (402) 354-8111
210 Regency Pkwy
Ste 10
Omaha, NE 68114
Phone (402) 391-3147
8111 Dodge St
Omaha, NE 68114
Phone (402) 354-8111
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- St Louis Park, MN
- NPI 1780621904
-
- Ophthalmology Physician
- Omaha, NE
- NPI 1003981184
-
- Family Medicine Physician
- St Louis Park, MN
- NPI 1063897593
-
dba Methodist Physicians Clinic
- Family Medicine Physician
- Omaha, NE
- NPI 1821049156
-
- Ophthalmology Physician
- Omaha, NE
- NPI 1306869532
-
- Customized Equipment (DME)
- Omaha, NE
- NPI 1306852884
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Maple Grove, MN
- NPI 1174980692
-
dba Park Nicollet Methodist Hospital Outpatient Surgery Center
- General Acute Care Hospital
- St Louis Park, MN
- NPI 1194113217
-
dba PN Methodist Hospital Episodic Bundle
- General Acute Care Hospital
- St Louis Park, MN
- NPI 1245615772
-
dba Park Nicollet Melrose Center
- Mental Illness Community Based Residential Treatment Facility
- St Louis Park, MN
- NPI 1578717336
Hospital
-
- General Acute Care Hospital
- St Louis Park, MN
- NPI 1649220724
-
dba Park Nicollet Melrose Center
- General Acute Care Hospital
- St Louis Park, MN
- NPI 1942585286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1740275841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8170 33RD AVE S # MS 21110Q",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554254516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 PARK NICOLLET BLVD",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554162505",
"telephone_number": "952-993-3150"
}
],
"practiceLocations": [
{
"address_1": "200 Hawkins Dr Dept Of",
"address_purpose": "LOCATION",
"city": "Iowa City",
"state": "IA",
"postal_code": "522421009",
"country_code": "US",
"telephone_number": "319-356-1951",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Hawkins Dr Dept Of",
"address_purpose": "LOCATION",
"city": "Iowa City",
"state": "IA",
"postal_code": "522421009",
"country_code": "US",
"telephone_number": "319-356-1951",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8141 W Center Rd",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681243273",
"country_code": "US",
"telephone_number": "402-391-1100",
"fax_number": "402-391-1233",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4001 Stinson Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554213425",
"country_code": "US",
"telephone_number": "612-338-4861",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "825 Nicollet Mall Ste 2000",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "55402",
"country_code": "US",
"telephone_number": "612-338-4861",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAILEY",
"first_name": "JANE",
"middle_name": "ALLISON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-14",
"last_updated": "2022-07-21",
"certification_date": "2021-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IA",
"license": "MD-44203",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NE",
"license": "21427",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MN",
"license": "65267",
"primary": false
},
{
"code": "207WX0109X",
"taxonomy_group": "",
"desc": "Ophthalmology, Neuro-ophthalmology",
"state": "MN",
"license": "65267",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025118100",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.