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JASON DAVIS PA-C
NPI 1306170808
Physician Assistant in St Louis Park, MN

Active since September 30, 2009PECOS Enrolled
3900 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416(952) 883-3150 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Dec 26, 2015 (2 updates tracked since 2015).

About Jason Davis Pa-c NPPES

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

JASON DAVIS PA-C (NPI 1306170808) is an individual physician assistant in St Louis Park, Minnesota, licensed in Minnesota (10786) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS and maintains a secondary practice location in Park Rapids.

NPPES Registry Identity

NPI1306170808
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJASON DAVISCredential: PA-C
Location Address3900 PARK NICOLLET BLVDSt Louis Park, MN 55416-2503
Mailing Address3900 Park Nicollet BlvdSt Louis Park, MN 55416-2503 · (952) 883-3150
Phone(952) 883-3150
Sole ProprietorNo
Enumeration DateSeptember 30, 2009
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1306170808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MN · 10786
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 10786 (MN)
3900 PARK NICOLLET BLVD, St Louis Park, MN 55416
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Secondary Practice Location 1

Location 1705 Pleasant Ave SPark Rapids, MN 56470-1440 · Phone (218) 732-2800 · Fax (218) 732-2857

Other Identifiers 1

Medicaid1306170808MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason Davis Pa-c 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.

Areas of Expertise CMS Part B claims 7

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.

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.
79 services71 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
30 services22 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.
28 services28 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
18 services16 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 services18 patients
Bacterial urine culture 87088
A bacterial urine culture is a laboratory test that checks for bacteria in your urine. It helps identify the type of bacteria causing an infection, enabling the selection of the most effective treatment. The test involves collecting a urine sample in a sterile container.
12 services11 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.

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. KARL J BAKKEN OD
Optometrist
3900 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3150
JOHANNA DIJKSTAL BEEBE M.D.
Ophthalmology (Neuro-ophthalmology)
3900 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3150
STEPHEN H POWLESS
Podiatrist
3900 PARK NICOLLET BLVD, PARK NICOLLET CLINIC SLP
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-2794
BRIAN GRUBBS MD
Surgery
3900 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3017
DR. HANS S GRINAGER MD
Ophthalmology
3900 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3150
WILLIAM C SHARER
Urology
3900 PARK NICOLLET BLVD, PARK NICOLLET CLINIC - SLP
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3017
DR. ERIN MARIE SINKOFF O.D.
Optometrist
3900 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3150
PARK NICOLLET METHODIST HOSPITAL
General Acute Care Hospital
3900 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-1953

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 Jason Davis's NPI number?

The NPI number for Jason Davis is 1306170808. It was assigned to this individual provider in the NPPES registry on September 30, 2009.

Where is Jason Davis located?

Jason Davis practices at 3900 Park Nicollet Blvd, St Louis Park, MN 55416. The listed phone number is (952) 883-3150.

What is Jason Davis's specialty?

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

Is Jason Davis enrolled in Medicare?

Yes. Jason Davis is registered in the Medicare PECOS enrollment system.

What insurance does Jason Davis accept?

Health plans from Medica list Jason Davis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jason Davis was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.