JILLIAN C CUNNINGHAM PA-C
NPI 1912213109
Physician Assistant - Surgical in Woodbury, MN

Q: What is Jillian Cunningham's NPI number?

The NPI number for Jillian Cunningham is 1912213109. It was assigned to this individual provider in the NPPES registry on August 25, 2010.

Q: What is Jillian Cunningham's specialty?

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

Active since August 25, 2010PECOS EnrolledAccepts Medicare Assignment

2090 WOODWINDS DR, WOODBURY, MN 55125(651) 968-5801(651) 968-5899 Get Directions Write a Review

NPPES record last updated: July 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 5, 2022, Aug 30, 2019 (2 updates tracked since 2019).

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About Jillian C Cunningham Pa-c NPPES

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

JILLIAN C CUNNINGHAM PA-C (NPI 1912213109) is an individual surgical provider in Woodbury, Minnesota, licensed in Minnesota (10785) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview Woodwinds Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1912213109

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameJILLIAN C CUNNINGHAMCredential: PA-C

Location Address2090 WOODWINDS DRWoodbury, MN 55125-2522

Mailing Address710 Commerce Dr Ste 200Woodbury, MN 55125-4925 · (651) 968-5042 · Fax (651) 968-5904

Phone(651) 968-5801

Fax(651) 968-5899

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateAugust 25, 2010

Last NPPES UpdateJuly 5, 20222 updates tracked since enumeration

NPPES CertifiedJuly 5, 2022

✔ NPI 1912213109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in MN · 10785

Also ListedPhysician AssistantTaxonomy 363A00000X · License 10785 (MN)

2090 WOODWINDS DR, Woodbury, MN 55125

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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

Jillian C Cunningham 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 ID4789879149

PECOS Enrollment IDI20101110001279

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 4

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.

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

83 services53 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.

60 services46 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

28 services26 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

23 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

M Health Fairview Woodwinds Hospital

Acute Care Hospitals · Woodbury, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240213

Location1925 Woodwinds DriveWoodbury, MN 55125 · Washington County

Emergency services Birthing friendly

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.

ABBY J ROSS PA-C

Physician Assistant (Surgical)