JACI KAY ZIYUE TOURTELLOTT PA-C
NPI 1902618838
Physician Assistant in Buffalo, MN

Q: What is Jaci Tourtellott's NPI number?

The NPI number for Jaci Tourtellott is 1902618838. It was assigned to this individual provider in the NPPES registry on January 27, 2025.

Q: What is Jaci Tourtellott's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jaci Tourtellott was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since January 27, 2025PECOS EnrolledAccepts Medicare Assignment

1700 HIGHWAY 25 N, BUFFALO, MN 55313(763) 682-1313 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jaci Kay Ziyue Tourtellott Pa-c NPPES

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

JACI KAY ZIYUE TOURTELLOTT PA-C (NPI 1902618838) is an individual physician assistant in Buffalo, Minnesota, licensed in Minnesota (15235) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1902618838

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJACI KAY ZIYUE TOURTELLOTTCredential: PA-C

Location Address1700 HIGHWAY 25 NBuffalo, MN 55313-1930

Mailing Address1700 Highway 25 NBuffalo, MN 55313-1930 · (763) 682-1313

Phone(763) 682-1313

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJanuary 27, 2025

Last NPPES UpdateJune 25, 2025

NPPES CertifiedJune 25, 2025

✔ NPI 1902618838 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 · 15235

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.

1700 HIGHWAY 25 N, Buffalo, MN 55313

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.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

Jaci Kay Ziyue Tourtellott 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 ID6406376037

PECOS Enrollment IDI20250225003851

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 55313 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.

DR. CYNTHIA LARSON MD

Internal Medicine