Individual provider Active NPI

Laura Jarvis, PA-C

  • Physician Assistant
  • Saint Paul, MN
National Provider Identifier
1053390815
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9791 Issued in MN
Practice address
1020 Bandana Blvd W
Saint Paul, MN 55108-5107
Phone
(651) 336-1391
NPI assigned
Jan 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9791 MN Primary

Addresses

Primary practice location

1020 Bandana Blvd W
Saint Paul, MN 55108-5107

Mailing address

13902 Fernwood LN
Apple Valley, MN 55124-5041

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ljarvis93509@excellian.direct.allina.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060213000698 MN Practitioner - Physician Assistant 2769497791 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fairview ClinicsGroup PAC ID 7113830142, 799 clinicians
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians

Practice addresses (Care Compare)

1440 Duckwood Dr
Eagan, MN 55122-1451
Phone (651) 406-8860

440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225

600 W 98TH St
Bloomington, MN 55420-4773
Phone (952) 881-2651

6350 W 143Rd St
Savage, MN 55378-2890

8675 Valley Creek Rd
Woodbury, MN 55125-2337
Phone (651) 241-3000

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

Merit-based Incentive Payment System (MIPS)

Final score
92.35 of 100Reported as group
Quality
91.74
Promoting interoperability
100
Improvement activities
40
Cost
77.13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System CurrentSince May 18, 2009 Accepting new patients
Fairview Clinics CurrentSince Aug 29, 2015 Accepting new patients
Healtheast Medical Research Institute CurrentSince Nov 25, 2020 Accepting new patients
Allina Health System CurrentSince May 18, 2009 Accepting new patients
Fairview Clinics CurrentSince Aug 29, 2015 Accepting new patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients
Healtheast Medical Research Institute CurrentSince Nov 25, 2020 Accepting new patients
Healtheast Medical Research Institute Past Accepting new patients
Lakeville Integrative Medicine Clinic Past Accepting new patients
Allina Health System Past Accepting new patients
Fairview Clinics Past Accepting new patients

Locations

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

11269 Jefferson Hwy N
Champlin, MN 55316
Phone (763) 236-0600

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

1880 N Frontage Rd
Ste 100
Hastings, MN 55033

400 Stinson Blvd
Minneapolis, MN 55413
Phone (612) 672-2258

7373 France Ave S
Ste 202
Minneapolis, MN 55435
Phone (952) 835-1311

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

600 W 98th St
Minneapolis, MN 55420
Phone (952) 881-2651

1020 Bandana Blvd W
Saint Paul, MN 55108
Phone (651) 641-1000

2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800

6350 W 143rd St
Ste 102
Savage, MN 55378
Phone (952) 428-1000

5565 Blaine Ave
South St Paul, MN 55076
Phone (651) 241-9400

8675 Valley Creek Rd
Woodbury, MN 55125
Phone (651) 241-3000

1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

Interoperability endpoints

  • Direct secure messaging: ljarvis192349@fairview.direct-ci.com
  • Direct secure messaging: ljarvis93509@excellian.direct.allina.com

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1053390815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13902 FERNWOOD LN",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551245041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 BANDANA BLVD W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551085107",
            "telephone_number": "651-336-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "LAURA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "9791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ljarvis93509@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "1020 Bandana Blvd W",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551085107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.