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JENNIFER THUL PA-C
NPI 1912716374
Physician Assistant in Minneapolis, MN

Active since December 31, 2024PECOS EnrolledAccepts Medicare Assignment
740 PORTLAND AVE STE C101, MINNEAPOLIS, MN 55415(612) 682-2008 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 11, 2025, Dec 31, 2024 (2 updates tracked since 2024).

About Jennifer Thul Pa-c NPPES

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

JENNIFER THUL PA-C (NPI 1912716374) is an individual physician assistant in Minneapolis, Minnesota and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Creighton University School Of Medicine (2024).

NPPES Registry Identity

NPI1912716374
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENNIFER THULCredential: PA-C
Location Address740 PORTLAND AVE STE C101Minneapolis, MN 55415-3603
Mailing Address740 Portland Ave Ste C101Minneapolis, MN 55415-3603 · (612) 682-2008
Phone(612) 682-2008
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2024
Enumeration DateDecember 31, 2024
Last NPPES UpdateFebruary 11, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2025
✔ NPI 1912716374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
740 PORTLAND AVE STE C101, Minneapolis, MN 55415
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Secondary Practice Locations 2

Location 12380 Troop Drive, Suite 202Sartell, MN 56377 · Phone (320) 348-7470
Location 21101 South 1st StreetWilmar, MN 56201 · Phone (320) 403-9035

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

Jennifer Thul 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 ID4587185251
PECOS Enrollment IDI20250311000489
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 55415 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.

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 Jennifer Thul's NPI number?

The NPI number for Jennifer Thul is 1912716374. It was assigned to this individual provider in the NPPES registry on December 31, 2024.

Where is Jennifer Thul located?

Jennifer Thul practices at 740 Portland Ave Ste C101, Minneapolis, MN 55415. The listed phone number is (612) 682-2008.

What is Jennifer Thul's specialty?

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

Is Jennifer Thul enrolled in Medicare?

Yes. Jennifer Thul 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 Jennifer Thul was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.