MRS. JENNIFER ANN STANEK MS, PAC
NPI 1063412112
Physician Assistant - Surgical in Oak Park Heights, MN

Q: What is Jennifer Stanek's NPI number?

The NPI number for Jennifer Stanek is 1063412112. It was assigned to this individual provider in the NPPES registry on July 29, 2005.

Q: What is Jennifer Stanek's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Stanek was last updated on June 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 29, 2005PECOS Enrolled

5803 NEAL AVE N, OAK PARK HEIGHTS, MN 55082(651) 439-8807 Get Directions Write a Review

NPPES record last updated: June 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Jennifer Ann Stanek Ms, Pac NPPES

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

MRS. JENNIFER ANN STANEK MS, PAC (NPI 1063412112) is an individual surgical provider in Oak Park Heights, Minnesota, licensed in Minnesota (10090) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063412112

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMRS. JENNIFER ANN STANEKCredential: MS, PAC

Location Address5803 NEAL AVE NOak Park Heights, MN 55082-2177

Mailing Address5803 Neal Ave NOak Park Heights, MN 55082-2177 · (651) 439-8807 · Fax (651) 439-0232

Phone(651) 439-8807

Sole ProprietorNo

Enumeration DateJuly 29, 2005

Last NPPES UpdateJune 30, 2015

✔ NPI 1063412112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

Licenses✔ Licensed in MN · 10090✔ Licensed in WI · 1500-23

5803 NEAL AVE N, Oak Park Heights, MN 55082

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Other Identifiers 1

Medicare UPINP67285

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jennifer Ann Stanek Ms, Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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Other Providers at the Same Location NPPES 20

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

DR. TROY ALLEN VARGAS DPM

Podiatrist (Foot & Ankle Surgery)