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JACK LEROY FOSTER III PA-C
NPI 1881450740
Physician Assistant - Surgical in Duluth, MN

Active since February 27, 2024PECOS EnrolledAccepts Medicare Assignment
1000 E 1ST ST STE 404, DULUTH, MN 55805(218) 722-5513 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack Leroy Foster Iii Pa-c NPPES

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

JACK LEROY FOSTER III PA-C (NPI 1881450740) is an individual surgical provider in Duluth, Minnesota, licensed in Minnesota (15708) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Virginia, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1881450740
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJACK LEROY FOSTER IIICredential: PA-C
Location Address1000 E 1ST ST STE 404Duluth, MN 55805-2265
Mailing Address1000 E 1st St Ste 404Duluth, MN 55805-2265 · (218) 722-5513
Phone(218) 722-5513
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 27, 2024
Last NPPES UpdateMay 8, 2026
NPPES CertifiedMay 8, 2026
✔ NPI 1881450740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in MN · 15708
1000 E 1ST ST STE 404, Duluth, MN 55805
Open in Google Maps ↗

Secondary Practice Location 1

Location 11405 Progress Pkwy Ste 100Virginia, MN 55792-3068 · Phone (218) 735-6290

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Jack Leroy Foster Iii 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 ID2062996572
PECOS Enrollment IDI20260324000118
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.

Other Providers at the Same Location NPPES 9

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

HAKAN BINEK PA-C
Physician Assistant (Surgical)
1000 E 1ST ST STE 404
DULUTH, MN 55805
St. Louis County (218) 722-5513
JOLENE FUREY MLASKOCH BS, RDMS, MSKS, RVT
Radiologic Technologist (Sonography)
1000 E 1ST ST STE 404
DULUTH, MN 55805
St. Louis County (218) 722-5513
GLEN H RUDOLPH M.D.
Orthopaedic Surgery
1000 E 1ST ST STE 404
DULUTH, MN 55805
St. Louis County (218) 722-5513
DR. KATHERINE RUTH COLWELL SCHNELL DPM
Podiatrist (Foot & Ankle Surgery)
1000 E 1ST ST STE 404
DULUTH, MN 55805
St. Louis County (218) 722-5513
MATTHEW THOMAS DAVIES MD
Neurological Surgery
1000 E 1ST ST STE 404
DULUTH, MN 55805
St. Louis County (218) 722-5513
JAMES STEVEN CROSS JR.
Physician Assistant
1000 E 1ST ST STE 404
DULUTH, MN 55805
St. Louis County (218) 722-5513
SARAH ELIZABETH STOVER CNP
Nurse Practitioner
1000 E 1ST ST STE 404
DULUTH, MN 55805
St. Louis County (218) 722-5513
DR. ANN MICHELLE FARLEY DO
Physical Therapist
1000 E 1ST ST STE 404
DULUTH, MN 55805
St. Louis County (218) 722-5513

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 Jack Foster's NPI number?

The NPI number for Jack Foster is 1881450740. It was assigned to this individual provider in the NPPES registry on February 27, 2024.

Where is Jack Foster located?

Jack Foster practices at 1000 E 1st St Ste 404, Duluth, MN 55805. The listed phone number is (218) 722-5513.

What is Jack Foster's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jack Foster enrolled in Medicare?

Yes. Jack Foster 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 Jack Foster was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.