Active NPI
Jane S Lindholm, M.D.
- Specialist
- Fridley, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 31049
- Practice address
- 7205 University Ave NE
Fridley, MN 55432-3134 - Phone
- (763) 571-4000
- Fax
- (763) 571-7202
- NPI assigned
- Jun 22, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 31049 | MN | Primary |
Addresses
Primary practice location
7205 University Ave NE
Fridley, MN 55432-3134
Mailing address
7205 University Ave NE
Fridley, MN 55432-3134
Phone (763) 571-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036585800 | Medicaid | MN |
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
- Dermatology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
119 14TH St NW
Suite 230
New Brighton, MN 55112-0007
Phone (763) 571-4000
Hospital & facility affiliations
- Abbott Northwestern Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.79 of 100
- Quality
- 53.64
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 88.99
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Skin Care Specialists, PA | Specialist | Current | Accepting new patients |
Locations
11107 Ulysses St NE
Ste 200
Blaine, MN 55434
Phone (763) 571-4000
500 Osborne Rd NE
Ste 330
Fridley, MN 55432
Phone (763) 571-4000
7205 University Ave NE
Minneapolis, MN 55432
Phone (612) 298-7636
119 14th St NW
Ste 230
New Brighton, MN 55112
Phone (763) 571-4000
119 14th St NW
Ste 240
Saint Paul, MN 55112
Organizations & group practices 1
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.
-
- Dermatology Physician
- Coon Rapids, MN
- NPI 1083659569
Specialist
Hospital & facility affiliations 23
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obesity Medicine (Family Medicine) Physician
- Minneapolis, MN
- NPI 1154684835
Hospital
-
- Physical Medicine & Rehabilitation Physician
- Minneapolis, MN
- NPI 1275577215
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821034240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7205 UNIVERSITY AVE NE",
"city": "FRIDLEY",
"state": "MN",
"postal_code": "554323134",
"telephone_number": "763-571-4000",
"fax_number": "763-571-7202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7205 UNIVERSITY AVE NE",
"city": "FRIDLEY",
"state": "MN",
"postal_code": "554323134",
"telephone_number": "763-571-4000",
"fax_number": "763-571-7202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDHOLM",
"first_name": "JANE",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MN",
"license": "31049",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036585800",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fridley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.