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

Shannon Leigh Jenson, PA-C

Individual provider Physician Assistant · NPI 1144529496

Shannon Leigh Jenson, PA-C is a Physician Assistant in St Louis Park, Minnesota. Qualified in 2007, 19 years ago. Practices with Minuteclinic Diagnostic of Minnesota PA, a 86-clinician group and accepts Medicare assignment. Licensed in Maryland, Minnesota and New Hampshire.

Years since qualifying
19
Licensed in
MD, MN, NH
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.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4656 Excelsior Blvd
St Louis Park, MN 55416-4938
Phone: (952) 929-0140
Fax: (952) 926-1055
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12417 (MN)
Physician Assistant Taxonomy 363A00000X · Licence C0005843 (MD)
Physician Assistant Taxonomy 363A00000X · Licence 0838 (NH)

Record details

NPI number1144529496
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 24, 2011
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Minuteclinic Diagnostic Of Minnesota Pa — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in St Louis Park