NPIMap

Individual provider Active NPI

Kathryn Wieckowski Jarrett, M.D.

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1992932545
Registry record updated Mar 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD443355 Issued in PA
Practice address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Jun 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD443355 PA Primary

Addresses

Primary practice location

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915

Mailing address

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone (952) 595-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NH2 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
I20110826000058 PA Practitioner - Diagnostic RadiologyPractitioner - Family Practice 6507036738 Reassigns benefits to 9 organizations
I20210621000627 NH Practitioner - Diagnostic Radiology 6507036738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
South Jersey Radiology Associates P aGroup PAC ID 9133115587, 202 clinicians
Atlantic Medical ImagingGroup PAC ID 0345215141, 109 clinicians
Atlantic Radiologists Professional Association LLCGroup PAC ID 3678621620, 71 clinicians
Englewood Radiologic Group P aGroup PAC ID 6901852300, 131 clinicians
Radiology Associates of Burlington County P aGroup PAC ID 7012954381, 153 clinicians
Ami Atlanticare LLCGroup PAC ID 7113073263, 62 clinicians

Practice addresses (Care Compare)

1020 Thompson St
Jersey Shore, PA 17740-1729
Phone (570) 398-3113

166 Gallagherville Rd
Downingtown, PA 19335-2248
Phone (952) 595-1100

1728 Waterford Way
Maple Glen, PA 19002-3156
Phone (856) 229-0696

832 Milmar Rd
Newtown Square, PA 19073-3510
Phone (609) 652-8316

901 N Penn St
Unit P601
Philadelphia, PA 19123-3123
Phone (856) 229-0696

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ami Atlanticare LLC CurrentSince Oct 25, 2021 Accepting new patients
Englewood Radiologic Group P a Diagnostic Radiology CurrentSince Sep 12, 2025 Accepting new patients
Atlantic Radiologists Professional Association LLC Diagnostic Radiology CurrentSince Oct 25, 2021 Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger-HM Joint Venture, LLC Diagnostic Radiology Current Accepting new patients
Radiology Associates of Burlington County P a Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
South Jersey Radiology Associates P a Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Littleton Hospital Association Current Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Oct 26, 2024 Accepting new patients
Geisinger-HM Joint Venture, LLC Diagnostic Radiology CurrentSince Dec 28, 2019 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Dec 28, 2019 Accepting new patients
Atlantic Medical Imaging CurrentSince Oct 25, 2021 Accepting new patients
Virtual Radiologic Professionals of Texas I, P.a. Diagnostic Radiology Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

1020 Thompson St
Jersey Shore, PA 17740
Phone (570) 398-0100

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 12

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

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774051200000",
    "number": "1992932545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARRETT",
        "first_name": "KATHRYN",
        "middle_name": "WIECKOWSKI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-22",
        "last_updated": "2026-03-21",
        "certification_date": "2026-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD443355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.