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.
| 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 |
| PAC ID |
5193241420 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | JORDAN N SCHEUNEMANN |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Organization Legal Name | FAMILY HEALTHSERVICES MINNESOTA PA DBA ENTIRA FAMILY CLINICS |
| Address |
2601 Centennial Dr Suite 100 North St Paul MN 55109-3087 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 15268 | MN |
| 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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|---|---|---|---|
| Juvia M Dorn | 2111 Ogden Ave, Aurora, IL 60504-7597 | Physician Assistant | 2026-02-06 |
| Katie Schluederberg | 9256 Bendix Rd Ste 200a, Columbia, MD 21045-1848 | Physician Assistant | 2026-02-06 |
| Ellie Renee Duckworth | 2230 S Springfield Ave Ste H-J, Bolivar, MO 65613-9133 | Physician Assistant | 2026-02-06 |
| Andrea Luong | 160 Convent Ave, New York, NY 10031-9101 | Physician Assistant | 2026-02-07 |
| Kara Shrider | 15663 Fieldcrest Ct, Granger, IN 46530-9079 | Physician Assistant | 2026-02-06 |
| Sofia Fernandez | 348 Rustic Ln, Friendswood, TX 77546-4322 | Physician Assistant | 2026-02-07 |
| Kaylee Tatum | 3225 N 3rd Pl, Broken Arrow, OK 74012-8242 | Physician Assistant | 2026-02-06 |
| Samantha Christine Holley | 20 University Blvd E, Silver Spring, MD 20901-2436 | Physician Assistant | 2026-02-06 |
| Nathan Thomas Westerlund | 205 N East Ave, Jackson, MI 49201-1753 | Physician Assistant | 2026-02-06 |
| Vincenza Rose Grilletto | 186 Municipal Rd, Pipersville, PA 18947-9316 | Physician Assistant | 2026-02-06 |
| Find all providers with the same taxonomy | |||
| Street Address |
404 HIGHWAY 96 W |
| City | SHOREVIEW |
| State | MN |
| Zip Code | 55126-1900 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Brooke Salfer | 404 Highway 96 W Ste C, Shoreview, MN 55126-1956 | Physical Therapist | 2023-05-30 |
| Family Healthservices Minnesota, P.A. | 404 Highway 96 W, Shoreview, MN 55126-1900 | Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2007-11-09 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Jazzmyn Goldsmith · Jazzmyn Nielsen | 4570 Churchill St Ste 300, Shoreview, MN 55126-2274 | Marriage & Family Therapist | 2018-09-07 |
| Emily Yang | 3650 Victoria St N, Shoreview, MN 55126-2906 | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 2025-09-22 |
| Infinite Health Collaborative, Pa | 4570 Churchill St, Suite 300, Shoreview, MN 55126-2222 | Durable Medical Equipment & Medical Supplies | 2006-10-20 |
| Fairview Pharmacy Services LLC | 3650 Victoria St N, Ste 300, Shoreview, MN 55126-2906 | Pharmacy | 2007-06-12 |
| Minnesota Vitality and Anti-Aging Center | 520 Highway 96 W Ste 200, Shoreview, MN 55126-1963 | Family Nurse Practitioner | 2021-05-25 |
| Corrin Mccann · Corrin Rader | 490 Highway 96 W, Suite 300, Shoreview, MN 55126-1961 | Speech-Language Pathologist | 2008-12-30 |
| Fairview Pharmacy Services LLC | 3650 Victoria St N, Ste 500, Shoreview, MN 55126-2906 | Community/Retail Pharmacy | 2008-04-09 |
| Fairview Pharmacy Services LLC | 3650 Victoria St N, Ste 600, Shoreview, MN 55126-2906 | Community/Retail Pharmacy | 2006-07-10 |
| Momentum Wellness Partners | 5197 Hodgson Rd, Shoreview, MN 55126-1230 | Case Management Agency | 2025-06-03 |
| Advanced Respiratory, Inc. | 1020 County Road F W, Saint Paul, MN 55126-2910 | Durable Medical Equipment & Medical Supplies | 2006-06-21 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Nicole Jordan Kern · Nicole Jordan Sperrazza | 2049 George Urban Blvd, Depew, NY 14043-1823 | Speech-Language Pathologist | 2023-06-07 |
| Jordan Nicole Roels | 860 W 5th St, Winston Salem, NC 27101-2506 | Mental Health Counselor | 2023-07-05 |
| Joanna Catherine Scheunemann | 22500 Raymond St, Saint Clair Shores, MI 48082-2739 | Family Nurse Practitioner | 2025-11-24 |
| Jordan Nicole Guy | 449 Jodeco Ct, Stockbridge, GA 30281-5887 | Psychiatric/Mental Health Nurse Practitioner | 2025-07-02 |
| Jordan Nicole Rudd | 1400 Wheat St, Columbia, SC 29208-4112 | Athletic Trainer | 2023-11-09 |
| Jordan Nicole Hosby | 62 Fadeley Way, Harpers Ferry, WV 25425-7088 | Home Health Aide | 2025-06-13 |
| Jordan Nicole Manzotti · Jordan Nicole Campagnone | 1280 W Central St, Franklin, MA 02038-3110 | Nurse Practitioner | 2023-12-28 |
| Jordan Nicole Harrison · Jordan Nicole Davis | 3650 Pacific Ave., Suite 104b, Forest Grove, OR 97116 | Physical Therapist | 2016-08-12 |
| Daryl Nicole Jordan | 300 Pasteur Dr, Stanford, CA 94305-2200 | Student in an Organized Health Care Education/Training Program | 2021-03-30 |
| Jordan Nicole Pearson | 335 24th Ave N Ste 120, Nashville, TN 37203-1505 | Acute Care Nurse Practitioner | 2025-07-29 |
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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 |
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. |