JEANNETTE STAUBUS RISDAHL (MD) – Internal Medicine Physician, NPI 1114099678

JEANNETTE STAUBUS RISDAHL (MD) is a healthcare provider. based in Minneapolis, Minnesota. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. 31840 (MN). The NPI Number for JEANNETTE STAUBUS RISDAHL (MD) is 1114099678

Main info

Female
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
JEANNETTE STAUBUS RISDAHL (MD)
NPI
1114099678
Phone
(612) 625-8400
Address
410 CHURCH ST SE
Enumeration Date
13 November 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
6126258400
Graduation Year
1987 (39 years ago)
PAC ID
1850415480
Group Practice PAC ID
7416856059
Professional Enrollment ID
I20100902000658
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for JEANNETTE STAUBUS RISDAHL (MD)

  • Church St, Southeast Pillsbury Drive, Minneapolis, Hennepin County, Minnesota, 55455-3027, United States

    MINNEAPOLIS, MN 554550340

    Phone: (612) 625-8400

    Fax: (612) 625-1434

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample2917$0
83036Hemoglobin a1c level1712$0
80061Blood test, lipids (cholesterol and triglycerides)1212$0
View full utilization report →

Insurance plans in this area (ZIP 55455)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416856059View full group profile
NameSpecialtyState
Clinical Social WorkerMN
Physical Therapist In Private PracticeMN
-MN
Oral Surgery, Pain ManagementMN
-MN
-MN
-MN
Family PracticeMN
-MN
Maxillofacial SurgeryMN

Reviews

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Frequently asked questions

Can I use this page to confirm JEANNETTE STAUBUS RISDAHL (MD)'s NPI?
Yes. JEANNETTE STAUBUS RISDAHL (MD) is listed with NPI 1114099678 in the public NPI dataset.
Is JEANNETTE STAUBUS RISDAHL (MD) still practicing?
JEANNETTE STAUBUS RISDAHL (MD) is currently listed as active in the public NPI registry.
What healthcare role does JEANNETTE STAUBUS RISDAHL (MD) hold?
Scheduling teams often label JEANNETTE STAUBUS RISDAHL (MD) under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does JEANNETTE STAUBUS RISDAHL (MD) list a practice location?
Patients near Minneapolis, Minnesota may find JEANNETTE STAUBUS RISDAHL (MD) in results; validate coverage separately.
Why does JEANNETTE STAUBUS RISDAHL (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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