Jordan Nicole Scheunemann · Physician Assistant

404 Highway 96 W, Shoreview, MN 55126-1900

Overview

Jordan Nicole Scheunemann is a Physician Assistant practicing in Shoreview, Minnesota. The National Provider Identifier (NPI) is #1407654064, which was assigned on March 7, 2025, and the registration record was last updated on March 7, 2025. The practitioner's main practice location is at 404 Highway 96 W, Shoreview, MN 55126-1900; the contact telephone number is 6514838283, and the fax number is 6514838299. The primary taxonomy of Jordan Nicole Scheunemann is Physician Assistant (363A00000X). Jordan Nicole Scheunemann is licensed to practice in the state of Minnesota (#15268).

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.

Provider Information

NPI 1407654064
Entity Type Individual
Provider Name JORDAN NICOLE SCHEUNEMANN
Gender Female
Credential PA-C
Practice Address 404 Highway 96 W
Shoreview
MN 55126-1900
Practice Telephone 6514838283
Practice Fax Number 6514838299
Mailing Address 2025 Sloan Pl Ste 35
Saint Paul
MN 55117-2092
Mailing Telephone 6517721572
Mailing Fax Number 6517721889
Certification Date 2025-03-07
Enumeration Date 2025-03-07
Last Update Date 2025-03-07
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y363A00000XPhysician Assistant15268MN

Taxonomy Information

Primary Taxonomy

Code 363A00000X
Taxonomy Physician Assistant
Classification Physician Assistant
Grouping Physician Assistants & Advanced Practice Nursing Providers
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.

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Location Information

Street Address 404 HIGHWAY 96 W
City SHOREVIEW
State MN
Zip Code 55126-1900
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Bruce H Leppink 404 Highway 96 W, Shoreview, MN 55126-1900Family Medicine Physician2006-07-27
Minnhealth Family Physicians, P.A. 404 Highway 96 W, Shoreview, MN 55126-1901Family Medicine Physician2007-04-19
Elizabeth A Detlie 404 Highway 96 W, Shoreview, MN 55126-1900Family Medicine Physician2006-08-01
Hanna Friedrich 404 Highway 96 W, Shoreview, MN 55126-1900Pharmacist2021-08-18
Katherine Elizabeth Lazenby · Katherine Elizabeth Haegele 404 Highway 96 W, Suite E, Shoreview, MN 55126-1901Physical Therapist2007-06-04
Family Healthservices Minnesota, P.A. Dba Entira Family Clinics 404 Highway 96 W, Shoreview, MN 55126-1900Family Medicine Physician2007-11-09
Fairview Pharmacy Services LLC 404 Highway 96 W, Shoreview, MN 55126-1900Non-Pharmacy Dispensing Site2023-01-06
Lynn Elrod 404 Highway 96 W, Shoreview, MN 55126-1900Family Nurse Practitioner2017-06-08
Cynthia M Frane 404 Highway 96 W, Shoreview, MN 55126-1900Family Medicine Physician2006-08-11
Robert R Weber 404 Highway 96 W, Shoreview, MN 55126-1900Family Medicine Physician2006-08-02
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Cassandra Araujo · Cassandra Krenz Kids Abilities, Inc., 490 Highway 96 W, Shoreview, MN 55126Speech-Language Pathologist2021-04-26
Emily Elizabeth Bade 3490 Lexington Ave. N, Suite 205, Shoreview, MN 55126Social Worker2015-08-24
Maya Ann Ezer · Maya Ann Doroschak 3454 Rice Street N, Saint Paul, MN 55126Chiropractor2019-12-02
Progressive Eyecare Associates 4625 Churchill Street, Suite 210, Shoreview, MN 55126Ophthalmology Physician2007-05-11
Michael Simons 1007 Tiller Lane, Shoreview, MN 55126Hearing Instrument Specialist2017-06-19
Jenna Herman 4001 Lexington Ave N, Arden Hills, MN 55126Family Nurse Practitioner2011-07-19
Rita C Stanoch 1030 W County Rd E, Shoreview, MN 55126Psychologist2006-11-08
Vaughn R Jefferson Psyd Mdiv Lp LLC 1030 West County Road E, Ste 260, Shoreview, MN 55126Clinical Psychologist2009-02-25
Healthstat Arkansas/Pace Ind.- St. Paul 3737 Lexington Ave. N, St. Paul, MN 55126Preventive Medicine/Occupational Environmental Medicine Physician2012-09-11
Megan Meyers 3585 Owasso St Apt 106, Shoreview, MN 55126Physician Assistant2024-05-06
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.