NPIMap

Individual provider Active NPI

Jennifer E Witt, MD

  • Surgery Physician
  • Hudson, WI
National Provider Identifier
1952691925
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
58498 Issued in MN
Practice address
2651 Hillcrest Dr Ste 105
Hudson, WI 54016-9919
Phone
(715) 280-9151
Fax
(715) 280-9152
NPI assigned
Apr 12, 2011
Last updated
Aug 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 58498 MN Primary

Addresses

Primary practice location

2651 Hillcrest Dr Ste 105
Hudson, WI 54016-9919

Mailing address

2550 University Ave W Ste 110N
Saint Paul, MN 55114-2001
Phone (651) 602-5312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160901000463 MN Practitioner - General Surgery 2062718968 Reassigns benefits to 2 organizations
I20230912002048 WI Practitioner - General Surgery 2062718968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Colorado School of Medicine, Denver, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Itasca Clinic and HospitalGroup PAC ID 8123939550, 328 clinicians
Minnesota Oncology Hematology PAGroup PAC ID 6709799752, 131 clinicians

Practice addresses (Care Compare)

1601 Golf Course Rd
Grand Rapids, MN 55744-8648
Phone (218) 326-3401

2651 Hillcrest Dr
Suite 105
Hudson, WI 54016-9919
Phone (715) 531-6800

7760 France Ave S
Suite 1000
Bloomington, MN 55435-5870
Phone (952) 749-6767

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.74 of 100Reported as group
Quality
72.38
Promoting interoperability
98
Improvement activities
40
Cost
77.7

Merit-based Incentive Payment System (MIPS)

Final score
92.35 of 100Reported as group
Quality
88.69
Promoting interoperability
100
Improvement activities
40
Cost
76.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Itasca Clinic and Hospital CurrentSince Oct 1, 2023 Accepting new patients
Minnesota Oncology Hematology, PA CurrentSince Sep 25, 2023 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Oct 1, 2023 Accepting new patients
Minnesota Oncology Hematology PA CurrentSince Sep 25, 2023 Accepting new patients
Minnesota Oncology Hematology, PA Surgery PastSince Jan 4, 2026 Accepting new patients
Minnesota Oncology Hematology, PA PastSince Jan 12, 2020 Accepting new patients
Minnesota Oncology Hematology, PA Past Accepting new patients
Minnesota Oncology Hematology, PA Surgery PastSince Jan 4, 2026 Accepting new patients

Locations

1175 Paysphere Cir
Chicago, IL 60674

7760 France Ave S
Ste 1000
Bloomington, MN 55435
Phone (952) 746-6767

675 E Nicollet Blvd
Ste 100
Burnsville, MN 55337
Phone (952) 435-8516

110105 Pioneer Trl W
Chaska, MN 55318
Phone (952) 556-0120

111 SE 3rd St
Grand Rapids, MN 55744
Phone (218) 326-3401

1601 Golf Course Rd
Grand Rapids, MN 55744
Phone (218) 326-3401

10150 Niagara Ln N
#100
Maple Grove, MN 55369
Phone (763) 297-9700

11850 Blackfoot St NW
Ste 100
Minneapolis, MN 55433
Phone (763) 712-2100

480 Osborne Rd NE
Ste 220
Minneapolis, MN 55432
Phone (763) 786-1620

6545 France Ave S
Ste 210
Minneapolis, MN 55435
Phone (952) 928-2900

910 E 26th St
Ste 100200
Minneapolis, MN 55404
Phone (612) 884-6300

2805 Campus Dr
Ste 105
Plymouth, MN 55441
Phone (763) 519-7440

1580 Beam Ave
Saint Paul, MN 55109
Phone (651) 255-8480

2550 University Ave W
Ste 105N
Saint Paul, MN 55114
Phone (651) 602-5335

2550 University Ave W
Ste 110N
Saint Paul, MN 55114
Phone (651) 602-5309

310 Smith Ave N
Ste 100
Saint Paul, MN 55102
Phone (651) 251-5500

560 S Maple St
Ste 100
Waconia, MN 55387
Phone (952) 442-6006

6025 Lake Rd
Ste 110
Woodbury, MN 55125
Phone (651) 735-7414

6025 Lake Rd
Ste 200
Woodbury, MN 55125

2651 Hillcrest Dr
Ste 105
Hudson, WI 54016
Phone (715) 280-9151

Interoperability endpoints

  • Direct secure messaging: jennifer.witt@moh.ikm.direct-ci.com
  • Direct secure messaging: jwitt767898@fairview.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 54

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1952691925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 UNIVERSITY AVE W STE 110N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551142001",
            "telephone_number": "651-602-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 HILLCREST DR STE 105",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540169919",
            "telephone_number": "715-280-9151",
            "fax_number": "715-280-9152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITT",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-12",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "58498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, WI

Sources for this page

Verify at the official NPI Registry.