JACOB WASSON P.A.-C
NPI 1821329715
Physician Assistant in Plymouth, MN

Active since January 18, 2010PECOS EnrolledAccepts Medicare Assignment
6050 SYCAMORE LN N, PLYMOUTH, MN 55442(651) 968-5201(651) 968-5903 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 10, 2025, Jan 14, 2020 (2 updates tracked since 2020).

About Jacob Wasson P.a.-c NPPES

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

JACOB WASSON P.A.-C (NPI 1821329715) is an individual physician assistant in Plymouth, Minnesota, licensed in Minnesota (10709) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1821329715
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACOB WASSONCredential: P.A.-C
Location Address6050 SYCAMORE LN NPlymouth, MN 55442-1402
Mailing Address710 Commerce Dr Ste 200Woodbury, MN 55125-4925
Fax(651) 968-5903
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJanuary 18, 2010
Last NPPES UpdateNovember 10, 20252 updates tracked since enumeration
NPPES CertifiedNovember 10, 2025
NPI 1821329715 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 · 10709
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.

6050 SYCAMORE LN N, Plymouth, MN 55442

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

Jacob Wasson P.a.-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 ID9234265562
PECOS Enrollment IDI20100325001059
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 10

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

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.
64 services64 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
29 services29 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
29 services16 patients
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.
24 services24 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
19 services19 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55442 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 19

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

Durable Medical Equipment & Medical Supplies
6050 SYCAMORE LN N
PLYMOUTH, MN 55442
Physician Assistant
6050 SYCAMORE LN N
PLYMOUTH, MN 55442
Nurse Practitioner (Family)
6050 SYCAMORE LN N
PLYMOUTH, MN 55442
Physician Assistant
6050 SYCAMORE LN N
PLYMOUTH, MN 55442
Physician Assistant
6050 SYCAMORE LN N
PLYMOUTH, MN 55442
Nurse Practitioner (Family)
6050 SYCAMORE LN N
PLYMOUTH, MN 55442
Nurse Practitioner
6050 SYCAMORE LN N
PLYMOUTH, MN 55442
Physician Assistant
6050 SYCAMORE LN N
PLYMOUTH, MN 55442

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821329715, enumerated as an "individual" on January 18, 2010.

The provider is located at 6050 SYCAMORE LN N PLYMOUTH, MN 55442 and the phone number is (651) 968-5201.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: HealthPartners and Medica. Please consult your insurance carrier or call the provider to verify.