JESSICA JERICH WETTERLIN (M.D.) – Surgery Physician, NPI 1245529379
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
284 UROLOGY in MN
Provider Addresses for JESSICA JERICH WETTERLIN (M.D.)
435 PHALEN BLVD
MS 51103C
ST. PAUL, MN 55130
Phone: (651) 254-8500
Type: Location
577 Michigan Ave Ste 201
Holland, MI 49423
Phone: (616) 392-1816
Fax: (616) 392-1292
Type: Location
8170 33RD AVE S
MS 21110Q
BLOOMINGTON, MN 554254516
Phone: (651) 254-8500
Fax: (651) 254-8504
Type: Mailing
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-11-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191111002923 | I | Urology | MN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 81001 | Manual urinalysis test with examination using microscope, automated | 164 | 101 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 161 | 122 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 91 | 79 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 58 | 58 | $0 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 48 | 42 | $0 |
Insurance plans in this area (ZIP 55130)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Clinical Psychologist | MN | |
| - | MN | |
| P S Y C H I A T R Y | MN | |
| Family Practice | MN | |
| - | MN | |
| - | MN | |
| P O D I A T R Y | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN |
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