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

Dr. Jelena A Licina, MD

Individual provider Internal Medicine Physician · NPI 1316921687

Dr. Jelena A Licina, MD is an Internal Medicine in Maplewood, Minnesota. Qualified in 1996, 30 years ago. Practices with Colorado Permanente Medical Group PC, a 1,325-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado, Florida and Minnesota.

Years since qualifying
30
Licensed in
CO, FL, MN
In the registry since
2005
Specialties on file
3
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

1575 Beam Ave
Maplewood, MN 55109-1126
Phone: (651) 232-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10350 E Dakota Ave, Denver, CO 80247-1314 — (303) 338-4545

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 73953 (MN)
Internal Medicine Physician Taxonomy 207R00000X · Licence ME 88772 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 50835 (CO)

Record details

NPI number1316921687
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 1, 2005
Last updated in NPPESMay 15, 2024
Certification dateMay 15, 2024

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesHOSPITALIST
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Colorado Permanente Medical Group Pc — 1325 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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