Jennifer L Smith (NPI# 1639163249, PAC ID# 2860433869) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1639163249 |
| PAC ID by PECOS | 2860433869 |
| Professional Enrollment ID | I20050519000948 |
| Full Name | Jennifer L Smith |
| Organization Legal Name | MINUTECLINIC DIAGNOSTIC OF MINNESOTA PA |
| Address |
810 County Rd 42 Burnsville MN 55337-4426 |
| Phone Number | 8663892727 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7810289949 |
| Number of Group Practice Members | 100 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240080 | UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW |
| Address | Phone | Organization |
|---|---|---|
| 1500 109th Ave Ne, Blaine, MN 55449-4670 | 8663892727 | MINUTECLINIC DIAGNOSTIC OF MINNESOTA PA |
| 810 County Rd 42, Burnsville, MN 55337-4426 | 8663892727 | MINUTECLINIC DIAGNOSTIC OF MINNESOTA PA |
| Organization Legal Name | MINUTECLINIC DIAGNOSTIC OF MINNESOTA PA |
| Physicians | 112 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Stepanov | Nurse Practitioner | Minuteclinic Diagnostic of Minnesota Pa | 1300 University Ave W, Saint Paul, MN 55104-4103 |
| Ruth S Mule | Nurse Practitioner | Minuteclinic Diagnostic of Minnesota Pa | 810 County Rd 42, Burnsville, MN 55337-4426 |
| Joann K Williams Ruppert | Nurse Practitioner | Minuteclinic Diagnostic of Minnesota Pa | 7200 Valley Creek Plz, Woodbury, MN 55125-2265 |
| Ashley Lynn Peine | Physician Assistant | Minuteclinic Diagnostic of Minnesota Pa | 1515 County Rd B W, Roseville, MN 55113-6005 |
| Catherine A Passe | Nurse Practitioner | Minuteclinic Diagnostic of Minnesota Pa | 15300 Grove Cir N, Maple Grove, MN 55369-4469 |
| Shannon L Jenson | Physician Assistant | Minuteclinic Diagnostic of Minnesota Pa | 8900 Hwy 7, Minneapolis, MN 55426-3919 |
| Kimberly A Gher | Nurse Practitioner | Minuteclinic Diagnostic of Minnesota Pa | 15560 Pilot Knob Rd, Apple Valley, MN 55124-7286 |
| Robin L Petrich | Nurse Practitioner | Minuteclinic Diagnostic of Minnesota Pa | 875 E Main St, Waconia, MN 55387-1081 |
| Kira E Snedden | Physician Assistant | Minuteclinic Diagnostic of Minnesota Pa | 3800 Lexington Ave N, Shoreview, MN 55126-2916 |
| Christy M Berryhill | Nurse Practitioner | Minuteclinic Diagnostic of Minnesota Pa | 900 Nicollet Mall, Minneapolis, MN 55403-2530 |
| Street Address |
810 COUNTY RD 42 |
| City | BURNSVILLE |
| State | MN |
| Zip | 55337-4426 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ruth S Mule | Nurse Practitioner | Minuteclinic Diagnostic of Minnesota Pa | 810 County Rd 42, Burnsville, MN 55337-4426 |
| Lori A Goehring | Nurse Practitioner | Minuteclinic Diagnostic of Minnesota Pa | 810 County Rd 42, Burnsville, MN 55337-4426 |
| Jennifer Lynn Kaidi | Nurse Practitioner | Minuteclinic Diagnostic of Minnesota Pa | 810 County Rd 42, Burnsville, MN 55337-4426 |
| Jacquelyn L Denardo | Nurse Practitioner | Minuteclinic Diagnostic of Minnesota Pa | 810 County Rd 42, Burnsville, MN 55337-4426 |
| Rachael F Pickett Theel | Nurse Practitioner | Minuteclinic Diagnostic of Minnesota Pa | 810 County Rd 42, Burnsville, MN 55337-4426 |
| Marcia L Dally | Nurse Practitioner | Minuteclinic Diagnostic of Minnesota Pa | 810 County Rd 42, Burnsville, MN 55337-4426 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hannah M Brooks | Physician Assistant | Colon and Rectal Surgery Associates Ltd | 325 Oakridge Professional Bldg, 625 E Nicollet Blvd, Burnsville, MN 55337 |
| Marc C Osborne | Colorectal Surgery (proctology) | Colon and Rectal Surgery Associates Ltd | 325 Oakridge Professional Bldg, 625 E Nicollet Blvd, Burnsville, MN 55337 |
| Matveh Panya | Physician Assistant | Medical Addiction Treatment Clinic, PC | 2414 E 117th St, Burnsville, MN 55337-1269 |
| Thomas Alan Anderson | Chiropractic | Marty Mcdonald Health Services Pa | 2424 E 117th St, Burnsville, MN 55337-1269 |
| Lindsay A Bergstreser | Physician Assistant | Valley Pain Relief and Wellness Center Pllc | 2440 E 117th St, Burnsville, MN 55337-1269 |
| Christine I Lynch | Chiropractic | Marty Mcdonald Health Services Pa | 2424 E 117th St, Burnsville, MN 55337-1269 |
| Stacy X Chang | Nurse Practitioner | Valley Pain Relief and Wellness Center Pllc | 2440 E 117th St, Burnsville, MN 55337-1269 |
| Kristina Marie Fruechtl | Chiropractic | Marty Mcdonald Health Services Pa | 2424 E 117th St, Burnsville, MN 55337-1269 |
| Christina Kern | Nurse Practitioner | Valley Pain Relief and Wellness Center Pllc | 2440 E 117th St, Burnsville, MN 55337-1269 |
| Ashwin V George | Addiction Medicine | Valley Pain Relief and Wellness Center Pllc | 2440 E 117th St, Burnsville, MN 55337-1269 |
| Find all physicians in zip 55337 | |||
| City | BURNSVILLE |
| Zip Code | 55337 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BURNSVILLE + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.