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

Mrs. Jennifer L Waite, PA-C

Individual provider Physician Assistant · NPI 1891070694

Mrs. Jennifer L Waite, PA-C is a Physician Assistant in Maple Grove, Minnesota. Qualified in 2011, 15 years ago. Practices with Minnesota Urology, PA, a 82-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Minnesota.

Years since qualifying
15
Licensed in
IL, MN
In the registry since
2011
Specialties on file
3
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 205
Maple Grove, MN 55369-4480
Phone: (763) 587-7000
Fax: (763) 587-7015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 675 N Saint Clair St Ste 15-200, Chicago, IL 60611-5967 — (408) 621-1354

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13027 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 363AM0700X (IL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 085.004163 (IL)

Record details

NPI number1891070694
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 12, 2011
Last updated in NPPESSeptember 3, 2021
Certification dateSeptember 3, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Minnesota Urology, Pa — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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