MR. JESSE L GOEMBEL PA-C
NPI 1356486963
Physician Assistant in Fridley, MN
About Mr. Jesse L Goembel Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JESSE L GOEMBEL PA-C (NPI 1356486963) is an individual physician assistant in Fridley, Minnesota, licensed in South Dakota (0643) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with St Cloud Hospital, and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
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
Mr. Jesse L Goembel 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Cloud Hospital
Acute Care Hospitals · Saint Cloud, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55432 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Jesse Goembel's NPI number?
The NPI number for Jesse Goembel is 1356486963. It was assigned to this individual provider in the NPPES registry on February 21, 2007.
Where is Jesse Goembel located?
Jesse Goembel practices at 550 Osborne Rd NE, Fridley, MN 55432. The listed phone number is (763) 236-5000.
What is Jesse Goembel's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Jesse Goembel enrolled in Medicare?
Yes. Jesse Goembel 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.
What insurance does Jesse Goembel accept?
Health plans from HealthPartners, Medica and Sanford Health Plan list Jesse Goembel 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.
Is Jesse Goembel affiliated with any hospitals?
According to CMS data, Jesse Goembel is affiliated with St Cloud Hospital.
When was this NPI record last updated?
The NPPES record for Jesse Goembel was last updated on November 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mr. Jesse L Goembel, PA-C · NPI 1356486963
Physician Assistant physician in Fridley, Minnesota. Individual provider, active in the CMS NPPES registry since February 21, 2007.
## Identity
- **NPI:** 1356486963 (Entity type: Individual)
- **Enumerated:** February 21, 2007
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 0643 (South Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 550 OSBORNE RD NE, Fridley, MN 55432-2718
- **Phone:** (763) 236-5000 · **Fax:** (763) 236-3516
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** November 10, 2020
- **Other identifiers:** Medicaid 6829150 (SD); Other 1238 (MN); Other 0643 (SD)
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Source: [NPI Profile](https://npiprofile.com/npi/1356486963) · Data from the CMS NPPES public registry.