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

Jenna Tassi, DO

Individual provider Pediatrics Physician · NPI 1528520442

Jenna Tassi, DO is a Pediatric Medicine in Minnetonka, Minnesota. Graduated from Midwestern University, Chicago College of Osteopathic Med in 2019, 7 years ago. Practices with South Lake Clinic PA, a 4-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Trained at
Midwestern University, Chicago College of Osteopathic Med
Licensed in
IL
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

17705 Hutchins Dr Ste 250
Minnetonka, MN 55345-4103
Phone: (952) 401-8300
Fax: (952) 401-8243
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 036161210 (IL)
Pediatrics Physician Taxonomy 208000000X · Licence 1528520442 (IL)

Record details

NPI number1528520442
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 1, 2019
Last updated in NPPESAugust 23, 2023
Certification dateAugust 22, 2023
Mailing addressLoyola University Medical Center, 2160 S. First Ave, Maywood, IL 60153

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 2019 (7 years in practice)
Group practice South Lake Clinic Pa — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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