JENNA ELIZABETH FREDERICKSEN PA-C
NPI 1932410263
Physician Assistant in Minneapolis, MN

Active since July 01, 2010PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1650 NEW BRIGHTON BLVD, SUITE 200, MINNEAPOLIS, MN 55413(612) 781-7033 Get Directions Write a Review

NPPES record last updated: March 25, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 25, 2017, Mar 27, 2016 (2 updates tracked since 2016).

About Jenna Elizabeth Fredericksen Pa-c NPPES

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

JENNA ELIZABETH FREDERICKSEN PA-C (NPI 1932410263) is an individual physician assistant in Minneapolis, Minnesota, licensed in Minnesota (10773) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview Southdale Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1932410263
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENNA ELIZABETH FREDERICKSENCredential: PA-C
Location Address1650 NEW BRIGHTON BLVD, SUITE 200Minneapolis, MN 55413-1643
Mailing Address1650 New Brighton Blvd, Suite 200Minneapolis, MN 55413-1643
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 1, 2010
Last NPPES UpdateMarch 25, 20172 updates tracked since enumeration
NPI 1932410263 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 · 10773
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.

1650 NEW BRIGHTON BLVD, Minneapolis, MN 55413

Accepted 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

Jenna Elizabeth Fredericksen 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 ID3274727607
PECOS Enrollment IDI20101029001185
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.

Hospital Affiliations CMS Care Compare

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

M Health Fairview Southdale Hospital

Acute Care Hospitals · Edina, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240078
Location6401 France Avenue SouthEdina, MN 55435 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55413 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.09
Promoting Interoperability100
Improvement Activities40
Cost84.72

Other Providers at the Same Location NPPES 12

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

Pharmacist
1650 NEW BRIGHTON BLVD, T-1095
MINNEAPOLIS, MN 55413
Pharmacist
1650 NEW BRIGHTON BLVD, T-1095
MINNEAPOLIS, MN 55413
Pharmacist
1650 NEW BRIGHTON BLVD, T-1095
MINNEAPOLIS, MN 55413
Pharmacist
1650 NEW BRIGHTON BLVD, T1095
MINNEAPOLIS, MN 55413
Pharmacist
1650 NEW BRIGHTON BLVD, T-1095
MINNEAPOLIS, MN 55413
Nurse Practitioner
1650 NEW BRIGHTON BLVD
MINNEAPOLIS, MN 55413
Pharmacist
1650 NEW BRIGHTON BLVD
MINNEAPOLIS, MN 55413
Pharmacy
1650 NEW BRIGHTON BLVD
MINNEAPOLIS, MN 55413

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 Jenna Fredericksen's NPI number?

The NPI number for Jenna Fredericksen is 1932410263. It was assigned to this individual provider in the NPPES registry on July 1, 2010.

Where is Jenna Fredericksen located?

Jenna Fredericksen practices at 1650 New Brighton Blvd Suite 200, Minneapolis, MN 55413. The listed phone number is (612) 781-7033.

What is Jenna Fredericksen's specialty?

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

Is Jenna Fredericksen enrolled in Medicare?

Yes. Jenna Fredericksen 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.

What insurance does Jenna Fredericksen accept?

Health plans from Medica and Sanford Health Plan list Jenna Fredericksen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jenna Fredericksen affiliated with any hospitals?

According to CMS data, Jenna Fredericksen is affiliated with M Health Fairview Southdale Hospital.

When was this NPI record last updated?

The NPPES record for Jenna Fredericksen was last updated on March 25, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.