JENNIFER S ANDREWS-GONZAGA PA
NPI 1629031182
Physician Assistant in St Paul, MN

Q: What is Jennifer Andrews-gonzaga's NPI number?

The NPI number for Jennifer Andrews-gonzaga is 1629031182. It was assigned to this individual provider in the NPPES registry on April 7, 2006.

Q: What is Jennifer Andrews-gonzaga's specialty?

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

Active since April 07, 2006PECOS Enrolled

640 JACKSON ST, MC 11102F, ST PAUL, MN 55101(651) 254-3456(651) 254-5216 Get Directions Write a Review

NPPES record last updated: October 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 5, 2018, Jun 28, 2018 (2 updates tracked since 2018).

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About Jennifer S Andrews-gonzaga Pa NPPES

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

JENNIFER S ANDREWS-GONZAGA PA (NPI 1629031182) is an individual physician assistant in St Paul, Minnesota, licensed in Minnesota (9687) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hudson.

NPPES Registry Identity

NPI1629031182

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJENNIFER S ANDREWS-GONZAGACredential: PA

Location Address640 JACKSON ST, MC 11102FSt Paul, MN 55101-2502

Mailing Address8100 34th Ave S, Mc21110qBloomington, MN 55425-1672 · (952) 883-7172 · Fax (952) 883-5395

Phone(651) 254-3456

Fax(651) 254-5216

Sole ProprietorNo

Enumeration DateApril 7, 2006

Last NPPES UpdateOctober 5, 20182 updates tracked since enumeration

✔ NPI 1629031182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in MN · 9687✔ Licensed in WI · 1840-23

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.

640 JACKSON ST, St Paul, MN 55101

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Secondary Practice Location 1

Location 1405 Stageline RdHudson, WI 54016-7848 · Phone (715) 531-6000

Other Identifiers 1

Medicaid981435300MN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer S Andrews-gonzaga Pa 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 55101 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.

WOJCIECH KRASZKIEWICZ M.D.

Internal Medicine