JENNA AUDREY ROTTY PA-C
NPI 1497169031
Physician Assistant in Bloomington, MN

Active since June 11, 2014PECOS EnrolledAccepts Medicare Assignment
8600 NICOLLET AVE S, BLOOMINGTON, MN 55420(952) 541-2800 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 16, 2022, Jul 28, 2022, May 10, 2016 (3 updates tracked since 2016).

About Jenna Audrey Rotty Pa-c NPPES

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

JENNA AUDREY ROTTY PA-C (NPI 1497169031) is an individual physician assistant in Bloomington, Minnesota, licensed in Minnesota (11605) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1497169031
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENNA AUDREY ROTTYCredential: PA-C
Location Address8600 NICOLLET AVE SBloomington, MN 55420-2824
Mailing Address8170 33rd Ave S, Ms 21110qBloomington, MN 55425-4516
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 11, 2014
Last NPPES UpdateNovember 26, 20243 updates tracked since enumeration
NPPES CertifiedNovember 26, 2024
NPI 1497169031 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 · 11605
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.
8600 NICOLLET AVE S, Bloomington, MN 55420

Other Names 1

Former Name (1)Jenna Audrey Peper Pa-c

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

Jenna Audrey Rotty 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 ID9830316033
PECOS Enrollment IDI20140812001849
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 55420 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.

Pediatrics
8600 NICOLLET AVE S
BLOOMINGTON, MN 55420
Optometrist
8600 NICOLLET AVE S
BLOOMINGTON, MN 55420
Ophthalmology
8600 NICOLLET AVE S
BLOOMINGTON, MN 55420
Social Worker (Clinical)
8600 NICOLLET AVE S
BLOOMINGTON, MN 55420
Pharmacist
8600 NICOLLET AVE S
BLOOMINGTON, MN 55420
Advanced Practice Midwife
8600 NICOLLET AVE S, MAIL STOP 31500A
BLOOMINGTON, MN 55420
Optometrist
8600 NICOLLET AVE S, MAIL STOP 31500A
BLOOMINGTON, MN 55420
Internal Medicine
8600 NICOLLET AVE S
BLOOMINGTON, MN 55420

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 Jenna Rotty's NPI number?

The NPI number for Jenna Rotty is 1497169031. It was assigned to this individual provider in the NPPES registry on June 11, 2014. The provider is also known as Jenna Audrey Peper Pa-C.

Where is Jenna Rotty located?

Jenna Rotty practices at 8600 Nicollet Ave S, Bloomington, MN 55420. The listed phone number is (952) 541-2800.

What is Jenna Rotty's specialty?

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

Is Jenna Rotty enrolled in Medicare?

Yes. Jenna Rotty 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 Jenna Rotty accept?

Health plans from HealthPartners and Medica list Jenna Rotty 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 Jenna Rotty was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.