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JEFFREY OWEN KASBOHM PA-C
NPI 1447352547
Physician Assistant in Fridley, MN

Active since September 01, 2006PECOS Enrolled
86.51/100
CMS Quality Rating
6341 UNIVERSITY AVE NE, FRIDLEY, MN 55432(763) 572-5710(763) 586-5888 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jeffrey Owen Kasbohm Pa-c NPPES

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

JEFFREY OWEN KASBOHM PA-C (NPI 1447352547) is an individual physician assistant in Fridley, Minnesota, licensed in Minnesota (9692) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447352547
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJEFFREY OWEN KASBOHMCredential: PA-C
Location Address6341 UNIVERSITY AVE NEFridley, MN 55432-4946
Mailing Address6401 University Ave NeFridley, MN 55432-4341 · (763) 572-5710 · Fax (763) 571-3008
Phone(763) 572-5710
Fax(763) 586-5888
Sole ProprietorNo
Enumeration DateSeptember 1, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1447352547 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 · 9692
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.
6341 UNIVERSITY AVE NE, Fridley, MN 55432
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Other Identifiers 8

Other64G07KAMN · Bcbs Of Mn
Medicare UPINP04570MN
Other1639459MN · America's Ppo
Other141816MN · Ucare Mn
Other0110266MN · Medica
Other6605100MN · Medica Urgent Care
OtherHP35076MN · Healthpartners
Other1030604MN · Preferred One

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey Owen Kasbohm 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.

Physician 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.

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.

86.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.59
Promoting Interoperability100
Improvement Activities40
Cost67.96

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. ALAN E. SADOWSKY M.D.
Ophthalmology
6341 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Anoka County (763) 572-5710
DR. MICHAEL EARL LINS M.D.
Ophthalmology
6341 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Anoka County (763) 572-5710
MATTHEW BRENT MERRIMAN M.A., LMFT
Marriage & Family Therapist
6341 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Anoka County (612) 672-6999
STEVEN ALEX RIZZI OD
Optometrist
6341 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Anoka County (763) 572-5700
DANIEL SPENCER BROOKS APRN
Nurse Practitioner (Family)
6341 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Anoka County (763) 586-5844
KAYDEE E BROWN LD
Dietitian, Registered
6341 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Anoka County (763) 586-5844
WILLIAM ALLEN WITTCHOW PA-C
Physician Assistant
6341 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Anoka County (763) 572-5710
JUAN OLIVER MARISCAL MD
Surgery
6341 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Anoka County (763) 572-5700

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 Jeffrey Kasbohm's NPI number?

The NPI number for Jeffrey Kasbohm is 1447352547. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is Jeffrey Kasbohm located?

Jeffrey Kasbohm practices at 6341 University Ave NE, Fridley, MN 55432. The listed phone number is (763) 572-5710.

What is Jeffrey Kasbohm's specialty?

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

Is Jeffrey Kasbohm enrolled in Medicare?

Yes. Jeffrey Kasbohm is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeffrey Kasbohm was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.