JORDAN NICOLE SCHEUNEMANN PA-C
NPI 1407654064
Physician Assistant in Shoreview, MN

Q: What is Jordan Scheunemann's NPI number?

The NPI number for Jordan Scheunemann is 1407654064. It was assigned to this individual provider in the NPPES registry on March 7, 2025.

Q: What is Jordan Scheunemann's specialty?

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

Active since March 07, 2025PECOS EnrolledAccepts Medicare Assignment

404 HIGHWAY 96 W, SHOREVIEW, MN 55126(651) 483-8283(651) 483-8299 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jordan Nicole Scheunemann Pa-c NPPES

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

JORDAN NICOLE SCHEUNEMANN PA-C (NPI 1407654064) is an individual physician assistant in Shoreview, Minnesota, licensed in Minnesota (15268) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1407654064

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJORDAN NICOLE SCHEUNEMANNCredential: PA-C

Location Address404 HIGHWAY 96 WShoreview, MN 55126-1900

Mailing Address2025 Sloan Pl Ste 35Saint Paul, MN 55117-2092 · (651) 772-1572 · Fax (651) 772-1889

Phone(651) 483-8283

Fax(651) 483-8299

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateMarch 7, 2025

NPPES CertifiedMarch 7, 2025

✔ NPI 1407654064 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 · 15268

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.

404 HIGHWAY 96 W, Shoreview, MN 55126

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, 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 and accepts Medicare assignment

Jordan Nicole Scheunemann 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 ID5193241420

PECOS Enrollment IDI20250429002739

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240080

Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County

Emergency services Birthing friendly

M Health Fairview St John's Hospital

Acute Care Hospitals · Maplewood, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240210

Location1575 Beam AvenueMaplewood, MN 55109 · Ramsey County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55126 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 14

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

ELIZABETH A DETLIE MD

Family Medicine