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

Jeremiah Ryan Shuck

Individual provider Physician Assistant · NPI 1033739925

Jeremiah Ryan Shuck is a Physician Assistant in Minot, North Dakota. Qualified in 2020, 6 years ago. Practices with Trinity Health, a 294-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
6
Licensed in
ND
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

2305 37th Ave SW
Minot, ND 58701-7669
Phone: (701) 857-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3251 Basswood Shores Ln Nw, Miltona, MN 56354-8303 — (320) 760-4248
  • 1 Burdick Expy W, Minot, ND 58701-4406 — (701) 857-5118

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PAC0871 (ND)
Physician Assistant Taxonomy 363A00000X · Licence PAC0871 (ND)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1033739925
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 21, 2020
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025
Mailing addressPo Box 5010, Minot, ND 58702-5010

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Trinity Health — 294 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Minot