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

Jill M Stanway, PA-C

Individual provider Physician Assistant · NPI 1649402512

Jill M Stanway, PA-C is a Physician Assistant in Woodbury, Minnesota. Qualified in 2009, 17 years ago. Practices with Minnesota Urology, PA, a 82-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

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

6025 Lake Rd Ste 200
Woodbury, MN 55125-1710
Phone: (651) 999-6800
Fax: (833) 905-0989
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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 11067 (MN)

Record details

NPI number1649402512
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 11, 2009
Last updated in NPPESDecember 13, 2023
Certification dateDecember 13, 2023

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 Minnesota Urology, Pa — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Woodbury