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

Individual provider Physician Assistant · NPI 1669400156

Jody Ann Mikkelson, PA-C is a Physician Assistant in Maple Grove, Minnesota. Qualified in 2000, 26 years ago. Practices with North Clinic PA, a 49-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
26
Licensed in
MN
In the registry since
2006
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

9825 Hospital Dr Ste 300
Maple Grove, MN 55369-4768
Phone: (763) 587-7900
Fax: (763) 494-7501
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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 9584 (MN)

Record details

NPI number1669400156
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 30, 2006
Last updated in NPPESNovember 8, 2022
Certification dateNovember 8, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice North Clinic Pa — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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