Jessica Simmons Sjoholm, MD - Medicare Internal Medicine in Shoreview, MN

Jessica Simmons Sjoholm, MD is a medicare enrolled "Internal Medicine" physician in Shoreview, Minnesota. She went to University Of Minnesota Medical School and graduated in 2017 and has 7 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Allina Health System and her current practice location is 4194 Lexington Ave N, Shoreview, Minnesota. You can reach out to her office (for appointments etc.) via phone at (516) 483-5461.

Jessica Simmons Sjoholm is licensed to practice in Minnesota (license number 66335) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1710419395.

Contact Information

Jessica Simmons Sjoholm, MD
4194 Lexington Ave N,
Shoreview, MN 55126-6106
(516) 483-5461
(516) 483-2155

Map and Direction




Physician's Profile

Full NameJessica Simmons Sjoholm
GenderFemale
SpecialityInternal Medicine
Experience7 Years
Location4194 Lexington Ave N, Shoreview, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jessica Simmons Sjoholm attended and graduated from University Of Minnesota Medical School in 2017
  NPI Data:
  • NPI Number: 1710419395
  • Provider Enumeration Date: 04/01/2017
  • Last Update Date: 06/10/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6103196746
  • Enrollment ID: I20200929000569

Medical Identifiers

Medical identifiers for Jessica Simmons Sjoholm such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710419395NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 66335 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Allina Health System45875736133101

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jessica Simmons Sjoholm allows following entities to bill medicare on her behalf.
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295272342
PECOS PAC ID: 4587573613
Enrollment ID: O20040319000460
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457657249
PECOS PAC ID: 4587573613
Enrollment ID: O20221213001713

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Simmons Sjoholm is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jessica Simmons Sjoholm, MD
4194 Lexington Ave N,
Shoreview, MN 55126-6106

Ph: (516) 483-5461
Jessica Simmons Sjoholm, MD
4194 Lexington Ave N,
Shoreview, MN 55126-6106

Ph: (516) 483-5461

Reviews and Comments


Internal Medicine Doctors in Shoreview, MN

Stephanie W Putzier, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 3530 Lexington Ave N, Shoreview, MN 55126
Phone: 651-714-0200    Fax: 651-714-0201
Kurt A Elting-ballard, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4194 Lexington Ave N, Shoreview, MN 55126
Phone: 651-483-5461    
David M Casement, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4194 Lexington Ave N, Shoreview, MN 55126
Phone: 651-483-5461    Fax: 651-483-2155

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.