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MS. JENEFER JUNE SOUTHWICK PA-C
NPI 1912122797
Physician Assistant - Medical in Ramsey, MN

Active since April 16, 2007PECOS Enrolled
7545 VETERANS DR, RAMSEY, MN 55303(612) 467-1100(763) 421-2067 Get Directions Write a Review

NPPES record last updated: June 15, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Ms. Jenefer June Southwick Pa-c NPPES

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

MS. JENEFER JUNE SOUTHWICK PA-C (NPI 1912122797) is an individual medical provider in Ramsey, Minnesota, licensed in Minnesota (7977) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912122797
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. JENEFER JUNE SOUTHWICKCredential: PA-C
Location Address7545 VETERANS DRRamsey, MN 55303-7500
Mailing Address7545 Veterans DrRamsey, MN 55303-7500 · (612) 467-1100 · Fax (634) 227-6377
Phone(612) 467-1100
Fax(763) 421-2067
Sole ProprietorNo
Enumeration DateApril 16, 2007
Last NPPES UpdateJune 15, 2025
NPPES CertifiedJune 15, 2025
✔ NPI 1912122797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MN · 7977
7545 VETERANS DR, Ramsey, MN 55303
Open in Google Maps ↗

Other Identifiers 1

Other7977MN · State Liscense

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jenefer June Southwick Pa-c 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.

Other Providers at the Same Location NPPES 14

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

KAREN THERESA GALLUS PHARM.D.
Pharmacist (Pharmacotherapy)
7545 VETERANS DR
RAMSEY, MN 55303
Anoka County (763) 422-7643
DR. EARL JUSTICE SMITH III M.D.
Psychiatry & Neurology (Psychiatry)
7545 VETERANS DR
RAMSEY, MN 55303
Anoka County (612) 467-4010
JOANNA CROWL MA
Psychologist (Clinical)
7545 VETERANS DR
RAMSEY, MN 55303
Anoka County (612) 467-1100
NANCY KATHLEEN MILLS RN, CCM
Registered Nurse (Case Management)
7545 VETERANS DR
RAMSEY, MN 55303
Anoka County (612) 422-7666
MICHELLE REICHERT LICSW
Social Worker (Clinical)
7545 VETERANS DR
RAMSEY, MN 55303
Anoka County (612) 467-1100
ABBIE SUE SACKMANN LICSW
Social Worker (Clinical)
7545 VETERANS DR
RAMSEY, MN 55303
Anoka County (612) 467-1730
JENNIFER LYNN QUADE
Registered Nurse
7545 VETERANS DR
RAMSEY, MN 55303
Anoka County (612) 467-5010
BETH ANN WALKER PA-C
Physician Assistant (Medical)
7545 VETERANS DR
RAMSEY, MN 55303
Anoka County (612) 467-1100

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 Jenefer Southwick's NPI number?

The NPI number for Jenefer Southwick is 1912122797. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is Jenefer Southwick located?

Jenefer Southwick practices at 7545 Veterans Dr, Ramsey, MN 55303. The listed phone number is (612) 467-1100.

What is Jenefer Southwick's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jenefer Southwick enrolled in Medicare?

Yes. Jenefer Southwick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jenefer Southwick was last updated on June 15, 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.