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

Individual provider Physician Assistant · NPI 1417703521

Stephanie Jean Pidde, PA-C is a Physician Assistant in Saint Paul, Minnesota. Qualified in 2025, 1 year ago. Practices with Family Healthservices Minnesota PA, a 60-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
1
Licensed in
MN
In the registry since
2024
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

280 Snelling Ave N
Saint Paul, MN 55104-5330
Phone: (651) 788-4444
Fax: (651) 699-9257
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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 15509 (MN)

Record details

NPI number1417703521
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 29, 2024
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Family Healthservices Minnesota Pa — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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