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

Individual provider Physician Assistant · NPI 1770816225

Jessica G Wageman, PA-C is a Physician Assistant in St Louis Park, Minnesota. Qualified in 2009, 17 years ago. Practices with Allina Health System, a 3,867-clinician group and accepts Medicare assignment. Licensed in Iowa and Minnesota.

Years since qualifying
17
Licensed in
IA, MN
In the registry since
2009
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

6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone: (952) 993-3246
Fax: (952) 993-3010
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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 10903 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 002025 (IA)

Record details

NPI number1770816225
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 16, 2009
Last updated in NPPESDecember 10, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in St Louis Park