Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jared R. Pennington, PA-C

Individual provider Physician Assistant · NPI 1346205697

Jared R. Pennington, PA-C is a Physician Assistant in Minneapolis, Minnesota. Qualified in 2004, 22 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and Ohio.

Years since qualifying
22
Licensed in
MN, OH
In the registry since
2006
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

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone: (612) 262-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Perkins Sq, Akron, OH 44308-1063 — (330) 543-8050

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15436 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 50.002588 (OH)

Record details

NPI number1346205697
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 19, 2006
Last updated in NPPESOctober 16, 2025
Certification dateOctober 16, 2025
Mailing address2925 Chicago Ave, Minneapolis, MN 55407-1321

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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