Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jacob Charles Liston, MD

Individual provider Internal Medicine Physician · NPI 1821210212

Dr. Jacob Charles Liston, MD is an Internal Medicine in Edina, Minnesota. Graduated from University of Minnesota Medical School in 2004, 22 years ago. Practices with Fairview Clinics, a 806-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
22
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6545 France Ave S Ste 510
Edina, MN 55435
Phone: (952) 927-7079
Fax: (952) 920-9758
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 50056 (MN)

Record details

NPI number1821210212
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 3, 2007
Last updated in NPPESJanuary 7, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2004 (22 years in practice)
Group practice Fairview Clinics — 806 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations10 on file with Medicare

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