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

Jennifer Lu

Individual provider Physician Assistant · NPI 1346919255

Jennifer Lu is a Physician Assistant in Saint Louis Park, Minnesota. Qualified in 2025, 1 year ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
1
Licensed in
MN
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

6500 Excelsior Blvd
Saint Louis Park, MN 55426-4702
Phone: (952) 993-3240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8980 Zachary Ln N, Maple Grove, MN 55369-4018 — (612) 767-7222

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15523 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1346919255
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 13, 2021
Last updated in NPPESOctober 3, 2025
Certification dateOctober 3, 2025

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 Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Saint Louis Park