JORDAN THADDEUS MAHIEU PA-C
NPI 1003323502
Physician Assistant in Saint Paul, MN

Active since January 05, 2018PECOS EnrolledAccepts Medicare Assignment
640 JACKSON ST # MS 11102F, SAINT PAUL, MN 55101(952) 883-5129 Get Directions Write a Review

NPPES record last updated: January 5, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jordan Thaddeus Mahieu Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN THADDEUS MAHIEU PA-C (NPI 1003323502) is an individual physician assistant in Saint Paul, Minnesota and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS, is affiliated with Lakeview Memorial Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1003323502
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJORDAN THADDEUS MAHIEUCredential: PA-C
Location Address640 JACKSON ST # MS 11102FSaint Paul, MN 55101-2502
Mailing AddressPo Box 1309Minneapolis, MN 55440-1309
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 5, 2018
NPI 1003323502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

640 JACKSON ST # MS 11102F, Saint Paul, MN 55101

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jordan Thaddeus Mahieu Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698037620
PECOS Enrollment IDI20180402002072
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
29 services29 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lakeview Memorial Hospital

Acute Care Hospitals · Stillwater, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number240066
Location927 West Churchill StreetStillwater, MN 55082 · Washington County
Emergency services Birthing friendly

Regions Hospital

Acute Care Hospitals · Saint Paul, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240106
Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
640 JACKSON ST # MS 11102F
SAINT PAUL, MN 55101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Mahieu's NPI number?

The NPI number for Jordan Mahieu is 1003323502. It was assigned to this individual provider in the NPPES registry on January 5, 2018.

Where is Jordan Mahieu located?

Jordan Mahieu practices at 640 Jackson St # Ms 11102F, Saint Paul, MN 55101. The listed phone number is (952) 883-5129.

What is Jordan Mahieu's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jordan Mahieu enrolled in Medicare?

Yes. Jordan Mahieu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jordan Mahieu affiliated with any hospitals?

According to CMS data, Jordan Mahieu is affiliated with Lakeview Memorial Hospital and Regions Hospital.

When was this NPI record last updated?

The NPPES record for Jordan Mahieu was last updated on January 5, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.