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

Jack Hoaby, PA-C

Individual provider Physician Assistant · NPI 1831075878

Jack Hoaby, PA-C is a Physician Assistant in Minneapolis, Minnesota. Qualified in 2025, 1 year ago. Practices with Hennepin Healthcare System Inc, a 903-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
1
Licensed in
MN
In the registry since
2025
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

701 Park Ave
Minneapolis, MN 55415-1623
Phone: (612) 873-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 715 S 8th St, Minneapolis, MN 55404-7530 — (612) 873-6963

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 15423 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 15423 (MN)

Record details

NPI number1831075878
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 14, 2025
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025
Mailing address701 Park Ave, Minneapolis, MN 55415-1623

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Hennepin Healthcare System Inc — 903 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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