SHANNON LEIGH JENSON PA-C
NPI 1144529496
Physician Assistant in St Louis Park, MN

Q: What is Shannon Jenson's NPI number?

The NPI number for Shannon Jenson is 1144529496. It was assigned to this individual provider in the NPPES registry on March 24, 2011. The provider is also known as Shannon Leigh Baker Pa-C.

Q: What is Shannon Jenson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shannon Jenson was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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 March 24, 2011PECOS EnrolledAccepts Medicare Assignment

89.4/100

CMS Quality Rating

4656 EXCELSIOR BLVD, ST LOUIS PARK, MN 55416(952) 929-0140(952) 926-1055 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 29, 2022, Nov 8, 2020, Jul 9, 2017 (3 updates tracked since 2017).

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About Shannon Leigh Jenson Pa-c NPPES

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

SHANNON LEIGH JENSON PA-C (NPI 1144529496) is an individual physician assistant in St Louis Park, Minnesota, licensed in Minnesota (12417) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1144529496

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSHANNON LEIGH JENSONCredential: PA-C

Location Address4656 EXCELSIOR BLVDSt Louis Park, MN 55416-4938

Mailing Address4656 Excelsior BlvdSt Louis Park, MN 55416-4938 · (952) 929-0140 · Fax (952) 926-1055

Phone(952) 929-0140

Fax(952) 926-1055

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateMarch 24, 2011

Last NPPES UpdateOctober 28, 20253 updates tracked since enumeration

NPPES CertifiedOctober 28, 2025

✔ NPI 1144529496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in MN · 12417✔ Licensed in MD · C0005843✔ Licensed in NH · 0838

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.

4656 EXCELSIOR BLVD, St Louis Park, MN 55416

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Other Names 1

Former Name (1)Shannon Leigh Baker Pa-c

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

Shannon Leigh Jenson 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 ID5991976839

PECOS Enrollment IDI20170828000033

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 4

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.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

45 services45 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

43 services43 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

33 services31 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55416 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.4/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

80.77

Improvement Activities

Cost

99.93

Other Providers at the Same Location NPPES 8

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

RONDA MARIE CHAKOLIS PHARMD

Pharmacist

4656 EXCELSIOR BLVD
SAINT LOUIS PARK, MN 55416

Hennepin County (952) 929-0140

ALEXANDRA PAIGE MARECK CNP

Nurse Practitioner (Family)