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

Jesse James Ewaldt

Individual provider Emergency Medicine Physician · NPI 1376272435

Jesse James Ewaldt is an Emergency Medicine in Bloomington, Minnesota. Graduated from University of North Dakota School of Medicine in 2022, 4 years ago. Practices with Emergency Physicians Professional Association, a 271-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Trained at
University of North Dakota School of Medicine
Licensed in
IL
In the registry since
2022
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Practice location Address checks out

4300 Marketpointe Dr Ste 100
Bloomington, MN 55435-5435
Phone: (952) 767-4574
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 701 N 1st St Ste D220, Springfield, IL 62702-3757 — (217) 545-3518

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 125090279 (IL)

Record details

NPI number1376272435
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 6, 2022
Last updated in NPPESFebruary 17, 2025
Certification dateFebruary 17, 2025
Mailing address4300 Marketpointe Dr Ste 100, Bloomington, MN 55435-5435

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Emergency Physicians Professional Association — 271 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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