Jessica S. Shin, MD
NPI 1578820775ActiveIndividual· Orthopaedic Surgery· Grand Forks, ND
Orthopaedic Surgery (MD) in Grand Forks, North Dakota, licensed in IL and UT, with an NPI issued in April 2012. Enrolled in Medicare as practitioner - orthopedic surgery and practitioner - orthopedic surgery.
Overview
| NPI | 1578820775 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 12, 2012 |
| Last updated in NPPES | Oct 6, 2020 |
| Certified by provider | Oct 6, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | 036147473 | IL |
| Orthopaedic Surgery | 207X00000X | 10248520-1205 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Orthopedic Surgery (IL); Practitioner - Orthopedic Surgery (UT) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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