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

Individual provider Registered Dietitian · NPI 1740247824

Jessica J. Stangenes, PA-C, RD, LD is a Physician Assistant in Burnsville, Minnesota. Qualified in 2020, 6 years ago. Practices with Fairview Express Care, a 1,964-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

201 E Nicollet Blvd
Burnsville, MN 55337-5714
Phone: (952) 892-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 6401 France Ave S, Edina, MN 55435-2104 — (952) 924-5000
  • 2450 Riverside Ave, Minneapolis, MN 55454-1450 — (612) 273-8383
  • 500 Harvard St Se, Minneapolis, MN 55455-0363 — (612) 273-3000
  • 45 10th St W, Saint Paul, MN 55102-1053 — (651) 232-3000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1166732 (MN)
Registered Dietitian Taxonomy 133V00000X · Licence 2335 (MN)

Record details

NPI number1740247824
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , RD , LD
Sole proprietorNo
NPI enumeratedMay 1, 2006
Last updated in NPPESJanuary 20, 2021
Certification dateJanuary 20, 2021

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 Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Burnsville