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JORDAN O'MALLEY PA-C
NPI 1255013298
Physician Assistant in Woodbury, MN

Active since August 01, 2023PECOS EnrolledAccepts Medicare Assignment
8401 SEASONS PKWY STE 300, WOODBURY, MN 55125(888) 938-3838(888) 919-1083 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jordan O'malley Pa-c NPPES

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

JORDAN O'MALLEY PA-C (NPI 1255013298) is an individual physician assistant in Woodbury, Minnesota, licensed in Minnesota (15374) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1255013298
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJORDAN O'MALLEYCredential: PA-C
Location Address8401 SEASONS PKWY STE 300Woodbury, MN 55125-3476
Mailing Address10001 W Innovation Dr Ste 200Milwaukee, WI 53226-4851 · (888) 938-3838 · Fax (888) 919-1083
Phone(888) 938-3838
Fax(888) 919-1083
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 1, 2023
Last NPPES UpdateSeptember 3, 2025
NPPES CertifiedSeptember 3, 2025
✔ NPI 1255013298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MN · 15374
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.
8401 SEASONS PKWY STE 300, Woodbury, MN 55125
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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 O'malley 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 ID1850894833
PECOS Enrollment IDI20250915001360
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55125 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 4

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

MS. GRETCHEN ELAINE GERLICH APNP
Nurse Practitioner
8401 SEASONS PKWY STE 300
WOODBURY, MN 55125
Washington County (888) 938-3838
MR. SCOTT K PODRATZ PA-C
Physician Assistant
8401 SEASONS PKWY STE 300
WOODBURY, MN 55125
Washington County (888) 938-3838
AMANDA K JOHNSON DNP, APNP
Nurse Practitioner
8401 SEASONS PKWY STE 300
WOODBURY, MN 55125
Washington County (888) 938-3838
KARIN WENDT APNP
Nurse Practitioner
8401 SEASONS PKWY STE 300
WOODBURY, MN 55125
Washington County (888) 938-3838

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 O'malley's NPI number?

The NPI number for Jordan O'malley is 1255013298. It was assigned to this individual provider in the NPPES registry on August 1, 2023.

Where is Jordan O'malley located?

Jordan O'malley practices at 8401 Seasons Pkwy Ste 300, Woodbury, MN 55125. The listed phone number is (888) 938-3838.

What is Jordan O'malley's specialty?

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

Is Jordan O'malley enrolled in Medicare?

Yes. Jordan O'malley 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.

When was this NPI record last updated?

The NPPES record for Jordan O'malley was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.