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

Individual provider Medical Physician Assistant · NPI 1477820405

Jennifer Patricia Gray, PA-C is a Physician Assistant in Minneapolis, Minnesota. Qualified in 2011, 15 years ago. Practices with North Memorial Health Care, a 506-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
15
Licensed in
MN
In the registry since
2011
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

2600 39th Ave NE
Minneapolis, MN 55421-4379
Phone: (763) 581-5500
Fax: (763) 581-5501
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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 11034 (MN)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 1651 (MN)

Record details

NPI number1477820405
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 18, 2011
Last updated in NPPESApril 20, 2016

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 North Memorial Health Care — 506 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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