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

Individual provider Physician Assistant · NPI 1154031334

Jordyn Louise Massop, PA-C is a Physician Assistant in St Louis Park, Minnesota. Qualified in 2022, 4 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2022
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: (612) 242-4285
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8325 34th Ave N, New Hope, MN 55427-1828 — (612) 242-4285

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14336 (MN)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1154031334
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 29, 2022
Last updated in NPPESMarch 16, 2023
Certification dateMarch 16, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in St Louis Park