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

Jennifer K Nelson, PA

Individual provider Physician Assistant · NPI 1124309372

Jennifer K Nelson, PA is a Physician Assistant in Maplewood, Minnesota. Qualified in 2011, 15 years ago. Practices with Healtheast Medical Research Institute, a 678-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
15
Licensed in
MN
In the registry since
2011
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1997 Sloan Pl Ste 17
Maplewood, MN 55117-2051
Phone: (651) 772-6251
Fax: (651) 224-9661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10980 (MN)

Record details

NPI number1124309372
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 1, 2011
Last updated in NPPESOctober 25, 2022
Certification dateOctober 25, 2022
Mailing address2854 Highway 55, Suite 130, Eagan, MN 55121-2156

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Healtheast Medical Research Institute — 678 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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