Active NPI
Jennifer E Witt, MD
- Surgery Physician
- Hudson, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 58498
- Practice address
- 2651 Hillcrest Dr Ste 105
Hudson, WI 54016-9919 - Phone
- (715) 280-9151
- Fax
- (715) 280-9152
- NPI assigned
- Apr 12, 2011
- 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 |
|---|---|---|---|---|
| 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, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Grand Itasca Clinic and Hospital
- Abbott Northwestern Hospital
- River Falls Area Hospital
- St Lukes Hospital
- Range Regional Health Services
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.74 of 100
- Quality
- 72.38
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 77.7
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.35 of 100
- Quality
- 88.69
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.65
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58498 | MN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Itasca Clinic and Hospital | Current | Accepting new patients | |
| Minnesota Oncology Hematology, PA | Current | Accepting new patients | |
| Grand Itasca Clinic and Hospital | Current | Accepting new patients | |
| Minnesota Oncology Hematology PA | Current | Accepting new patients | |
| Minnesota Oncology Hematology, PA | Surgery | Past | Accepting new patients |
| Minnesota Oncology Hematology, PA | Surgery | Past | Accepting new patients |
| Minnesota Oncology Hematology, PA | Past | Accepting new patients | |
| Minnesota Oncology Hematology, PA | Past | 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) 361-5800
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) 220-1316
910 E 26th St
Ste 100200
Minneapolis, MN 55404
Phone (612) 884-6300
480 Osborne Rd NE
Ste 220
Minneapolis, MN 55432
Phone (763) 786-1620
11850 Blackfoot St NW
Ste 100
Minneapolis, MN 55433
Phone (763) 712-2100
6545 France Ave S
Ste 210
Minneapolis, MN 55435
Phone (952) 928-2900
2805 Campus Dr
Ste 105
Plymouth, MN 55441
Phone (763) 519-7440
2550 University Ave W
Ste 110N
Saint Paul, MN 55114
Phone (651) 602-5309
1580 Beam Ave
Saint Paul, MN 55109
Phone (651) 255-8480
310 Smith Ave N
Ste 100
Saint Paul, MN 55102
Phone (651) 251-5500
2550 University Ave W
Ste 105N
Saint Paul, MN 55114
Phone (651) 602-5335
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
- jwitt767898@fairview.direct-ci.com
- jennifer.witt@moh.ikm.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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Grand Rapids, MN
- NPI 1669426631
-
- Community/Retail Pharmacy
- Grand Rapids, MN
- NPI 1225441157
-
- Community/Retail Pharmacy
- Maple Grove, MN
- NPI 1811601123
-
- Surgery Physician
- Duluth, MN
- NPI 1548126097
-
- Radiation Oncology Physician
- Saint Paul, MN
- NPI 1598305427
-
- Hematology & Oncology Physician
- Saint Paul, MN
- NPI 1609911205
-
- Surgery Physician
- Duluth, MN
- NPI 1790641256
Hospital & facility affiliations 55
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grand Rapids, MN
- NPI 1669426631
-
- Critical Access Hospital
- River Falls, WI
- NPI 1285691725
-
- General Acute Care Hospital
- Superior, WI
- NPI 1629017793
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.