DR. JESSICA HELENA RANDA GOLDSTEIN (M.D.) – Neurology with Special Qualifications in Child Neurology Physician, NPI 1275796732

DR. JESSICA HELENA RANDA GOLDSTEIN (M.D.) is a healthcare provider. based in Minneapolis, Minnesota. specializing in NEUROLOGY. They hold the professional credentials M.D.. They hold a License No. 69877 (MN). The NPI Number for DR. JESSICA HELENA RANDA GOLDSTEIN (M.D.) is 1275796732

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. JESSICA HELENA RANDA GOLDSTEIN (M.D.)
NPI
1275796732
Phone
(612) 365-6777
Address
2450 RIVERSIDE AVE BLDG FLOOR12
Enumeration Date
5 July 2008
Last Update Date
17 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6126727422
Graduation Year
2008 (18 years ago)
PAC ID
6709004708
Group Practice PAC ID
3375645179
Professional Enrollment ID
I20210823001077
Address ID
MN554142959MI717XXSEXX405
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:17State licenses:1Digital endpointsOther names

640 NEUROLOGY in MN

Provider Addresses for DR. JESSICA HELENA RANDA GOLDSTEIN (M.D.)

  • 2450 RIVERSIDE AVE BLDG FLOOR12

    MINNEAPOLIS, MN 554541450

    Phone: (612) 365-6777

    Type: Mailing

  • University Hospitals Cleveland Medical Center, 11100, Euclid Avenue, University Circle, Cleveland, Cuyahoga County, Ohio, 44106, United States

    CLEVELAND, OH 441061716

    Phone: (216) 844-3691

    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: 2021-08-23

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210823001077INeurologyMNTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55454)

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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: 3375645179View full group profile
NameSpecialtyState
P A T H O L O G YMN
G A S T R O E N T E R O L O G YMN
N E U R O S U R G E R YOH
-MN
Physician AssistantMN
Physician AssistantMN
-MN
-MN
Physical Therapist In Private PracticeOR
Cardiovascular Disease (Cardiology)IL

Reviews

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Frequently asked questions

Can I verify DR. JESSICA HELENA RANDA GOLDSTEIN (M.D.) with an NPI only?
You can start verification with NPI 1275796732 for DR. JESSICA HELENA RANDA GOLDSTEIN (M.D.), then check state licensing separately.
Can I rely on DR. JESSICA HELENA RANDA GOLDSTEIN (M.D.) being an active provider?
As of the registry snapshot, DR. JESSICA HELENA RANDA GOLDSTEIN (M.D.) is marked active.
What taxonomy line describes DR. JESSICA HELENA RANDA GOLDSTEIN (M.D.)?
For research purposes, treat DR. JESSICA HELENA RANDA GOLDSTEIN (M.D.) as Neurology with Special Qualifications in Child Neurology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. JESSICA HELENA RANDA GOLDSTEIN (M.D.) list a practice location?
Patients near Minneapolis, Minnesota may find DR. JESSICA HELENA RANDA GOLDSTEIN (M.D.) in results; validate coverage separately.
Is the information about DR. JESSICA HELENA RANDA GOLDSTEIN (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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