DR. JACALYN DICELLO M.D. NPI 1518989656

NPI Information

NPI: 1518989656
Provider Name: DR. JACALYN DICELLO, M.D.
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

Address:
14000 NICOLLET AVE
SUITE 100
BURNSVILLE, MN
ZIP 55337
Phone: (952) 428-0200
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DR. Jacalyn Dicello, M.D. is a gynecology obstetrics gynecology in Burnsville, MN. DR. Jacalyn Dicello, M.D. NPI is 1518989656. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14000 NICOLLET AVE
SUITE 100
BURNSVILLE, MN
ZIP 55337-790
Phone: (952) 428-0200

The enumeration date for this NPI number is 7/25/2006 and was last updated on 11/21/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VG0400X	Obstetrics & Gynecology	Gynecology	23731	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	160002900	MEDICARE PIN	MINNESOTA
2	0702123	OTHER	MINNESOTA	MEDICA
3	HP10327	OTHER	MINNESOTA	HEALTH PARTNERS
4	57F36DI	OTHER	MINNESOTA	BLUE SHIELD
5	087288100	MEDICAID	MINNESOTA
6	D81707	MEDICARE UPIN	MINNESOTA
7	0371001	OTHER	MINNESOTA	PREFERRED ONE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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