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

Jaena J Wisniewski, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1710032594

Jaena J Wisniewski, MD is a Pathology in Maplewood, Minnesota. Graduated from Michigan State University College of Human Medicine in 2005, 21 years ago. Practices with Fairview Express Care, a 1,964-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
21
Trained at
Michigan State University College of Human Medicine
Licensed in
MN, WI
In the registry since
2007
Specialties on file
2
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

2945 Hazelwood St Ste 310
Maplewood, MN 55109-1244
Phone: (651) 264-1500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1650 4th St Se, Rochester, MN 55904-4717 — (507) 529-6600

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 52638 (MN)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 68895-20 (WI)

Record details

NPI number1710032594
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 24, 2007
Last updated in NPPESFebruary 18, 2025
Certification dateFebruary 18, 2025

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 2005 (21 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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