JENNIFER LYNN SMITH PAC
NPI 1639163249
Physician Assistant in Richfield, MN

Active since September 09, 2005PECOS EnrolledAccepts Medicare Assignment
89.4/100
CMS Quality Rating
6445 RICHFIELD PKWY, RICHFIELD, MN 55423(866) 389-2727 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 26, 2020, May 11, 2017, Sep 16, 2016 (3 updates tracked since 2016).

About Jennifer Lynn Smith Pac NPPES

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

JENNIFER LYNN SMITH PAC (NPI 1639163249) is an individual physician assistant in Richfield, Minnesota, licensed in Minnesota (9950) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1639163249
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENNIFER LYNN SMITHCredential: PAC
Location Address6445 RICHFIELD PKWYRichfield, MN 55423-6400
Mailing Address6445 Richfield PkwyRichfield, MN 55423-6400 · (866) 389-2727
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateSeptember 9, 2005
Last NPPES UpdateApril 23, 20253 updates tracked since enumeration
NPPES CertifiedApril 23, 2025
NPI 1639163249 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 · 9950 Licensed in MN · 9952
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.
6445 RICHFIELD PKWY, Richfield, MN 55423

Other Names 1

Former Name (1)Jennifer Lynn Gustafson Pac

Other Identifiers 1

Medicaid504193700MN

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

Jennifer Lynn Smith Pac 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 ID2860433869
PECOS Enrollment IDI20050519000948
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55423 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.

89.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.77
Improvement Activities40
Cost99.93

Other Providers at the Same Location NPPES 11

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

Nurse Practitioner (Family)
6445 RICHFIELD PKWY
RICHFIELD, MN 55423
Eyewear Supplier
6445 RICHFIELD PKWY
RICHFIELD, MN 55423
Physician Assistant
6445 RICHFIELD PKWY
RICHFIELD, MN 55423
Pharmacy
6445 RICHFIELD PKWY
RICHFIELD, MN 55423
Pharmacist
6445 RICHFIELD PKWY
RICHFIELD, MN 55423
Nurse Practitioner (Family)
6445 RICHFIELD PKWY
RICHFIELD, MN 55423
Pharmacist
6445 RICHFIELD PKWY, T-2300
RICHFIELD, MN 55423
Nurse Practitioner (Family)
6445 RICHFIELD PKWY
RICHFIELD, MN 55423

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 Jennifer Smith's NPI number?

The NPI number for Jennifer Smith is 1639163249. It was assigned to this individual provider in the NPPES registry on September 9, 2005. The provider is also known as Jennifer Lynn Gustafson Pac.

Where is Jennifer Smith located?

Jennifer Smith practices at 6445 Richfield Pkwy, Richfield, MN 55423. The listed phone number is (866) 389-2727.

What is Jennifer Smith's specialty?

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

Is Jennifer Smith enrolled in Medicare?

Yes. Jennifer Smith 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.

When was this NPI record last updated?

The NPPES record for Jennifer Smith was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.