JENNIFER ELAINE TRACE PA-C
NPI 1942758602
Physician Assistant - Surgical in Edina, MN

Q: What is Jennifer Trace's NPI number?

The NPI number for Jennifer Trace is 1942758602. It was assigned to this individual provider in the NPPES registry on September 12, 2016.

Q: What is Jennifer Trace's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennifer Trace was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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 September 12, 2016PECOS EnrolledAccepts Medicare Assignment

90.75/100

CMS Quality Rating

6545 FRANCE AVE S STE 210, EDINA, MN 55435(952) 928-2900(952) 928-2944 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 30, 2023, Sep 4, 2018, Mar 13, 2018 and 1 more (4 updates tracked since 2016).

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About Jennifer Elaine Trace Pa-c NPPES

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

JENNIFER ELAINE TRACE PA-C (NPI 1942758602) is an individual surgical provider in Edina, Minnesota, licensed in Minnesota (12200) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview Southdale Hospital, and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1942758602

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameJENNIFER ELAINE TRACECredential: PA-C

Location Address6545 FRANCE AVE S STE 210Edina, MN 55435-2281

Mailing Address2550 University Ave W Ste 110nSaint Paul, MN 55114-2001 · (651) 602-5309

Phone(952) 928-2900

Fax(952) 928-2944

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateSeptember 12, 2016

Last NPPES UpdateJanuary 30, 20234 updates tracked since enumeration

NPPES CertifiedJanuary 30, 2023

✔ NPI 1942758602 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 · 12200

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 12200 (MN)

6545 FRANCE AVE S STE 210, Edina, MN 55435

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Secondary Practice Location 1

Location 12800 Chicago Ave, Suite 300Minneapolis, MN 55407 · Phone (651) 225-7855 · Fax (651) 312-1570

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

Jennifer Elaine Trace 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 ID3870872732

PECOS Enrollment IDI20161116002017

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 5

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.

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

27 services12 patients

Immunologic analysis for detection of tumor antigen, quantitative; ca 125 86304

This test checks for CA 125, a protein often found in higher amounts in individuals with certain types of tumors. It involves analyzing a blood sample in a lab. It's a quantitative test, meaning it measures the level of CA 125 in your blood.

22 services12 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.

20 services16 patients

Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less 58571

This procedure involves the removal of certain internal structures through small incisions in the abdomen, using a special tool called an endoscope. It's performed when these structures are causing health issues. The weight reference (250.0 g or less) relates to the size of the structures being removed.

18 services18 patients

Biopsy and removal of lymph nodes of abdominal cavity using an endoscope 38570

This procedure involves using a thin, flexible tool called an endoscope to examine and remove lymph nodes in the abdominal area. The endoscope is inserted through a small incision. It allows doctors to view and biopsy, or take samples of, any suspicious tissues for further testing.

12 services12 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 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

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.

90.75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

74.64

Promoting Interoperability

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Skin barrier; solid, 4 x 4 or equivalent; each A4362

DME-Orthotic Devices · category DF010N

3 suppliers22 claims470 services$3.14 avg. paid by Medicare

Ostomy skin barrier, powder, per oz A4371

DME-Orthotic Devices · category DF010N

2 suppliers11 claims15 services$3.50 avg. paid by Medicare

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

3 suppliers50 claims908 services$4.61 avg. paid by Medicare

Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each A4388

DME-Orthotic Devices · category DF010N

1 supplier20 claims280 services$3.71 avg. paid by Medicare

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394

DME-Orthotic Devices · category DF010N

2 suppliers33 claims372 services$2.44 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each A4410

DME-Orthotic Devices · category DF010N

1 supplier12 claims240 services$8.74 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 6

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

MELISSA LYNN KORB M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)