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MRS. JACQUELINE M SAMUELSON PA-C
NPI 1972743391
Physician Assistant in Mankato, MN

Active since February 25, 2009PECOS Enrolled
1961 PREMIER DR STE 330, MANKATO, MN 56001(507) 420-4681 Get Directions Write a Review

NPPES record last updated: April 28, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Jacqueline M Samuelson Pa-c NPPES

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

MRS. JACQUELINE M SAMUELSON PA-C (NPI 1972743391) is an individual physician assistant in Mankato, Minnesota and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972743391
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. JACQUELINE M SAMUELSONCredential: PA-C
Location Address1961 PREMIER DR STE 330Mankato, MN 56001-6494
Mailing Address1961 Premier Dr Ste 330Mankato, MN 56001-6494 · (507) 420-4681
Phone(507) 420-4681
Sole ProprietorNo
Enumeration DateFebruary 25, 2009
Last NPPES UpdateApril 28, 2015
✔ NPI 1972743391 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.
1961 PREMIER DR STE 330, Mankato, MN 56001
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 (PECOS)

Mrs. Jacqueline M Samuelson 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56001 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 Jacqueline Samuelson's NPI number?

The NPI number for Jacqueline Samuelson is 1972743391. It was assigned to this individual provider in the NPPES registry on February 25, 2009.

Where is Jacqueline Samuelson located?

Jacqueline Samuelson practices at 1961 Premier Dr Ste 330, Mankato, MN 56001. The listed phone number is (507) 420-4681.

What is Jacqueline Samuelson's specialty?

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

Is Jacqueline Samuelson enrolled in Medicare?

Yes. Jacqueline Samuelson is registered in the Medicare PECOS enrollment system.

What insurance does Jacqueline Samuelson accept?

Health plans from Medica list Jacqueline Samuelson 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.

When was this NPI record last updated?

The NPPES record for Jacqueline Samuelson was last updated on April 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.