Jennifer E Klein, PA-C
Individual provider Active NPI Physician Assistant · Faribault, MN
NPI 1194448779 · NPPES record last updated Apr 17, 2024
Key facts
- NPI
- 1194448779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 14681 (MN)
- Practice address
- 100 State Ave
Faribault, MN 55021-6337 - Phone
- (507) 334-3921
- NPI assigned
- Sep 20, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Allina Health System
Practice addresses (Care Compare)
100 State Ave
Faribault, MN 55021-6337
Phone (507) 334-3921
14655 Galaxie Ave
Apple Valley, MN 55124-8602
Phone (651) 241-3779
440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225
Hospital & facility affiliations
- Allina Health Faribault Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231115000675 | MN | Practitioner - Physician Assistant | 9335596220 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2180 | NE | MD | Professional Counselor |
| 14681 | MN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Current |
Accepting new patients | |
| Allina Health System | Current |
Accepting new patients | |
| Allina Health System | Past | Accepting new patients |
Locations
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
100 State Ave
Faribault, MN 55021
Phone (507) 334-3921
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813
1021 Bandana Blvd E
Ste 100
Saint Paul, MN 55108
Phone (877) 414-2533
14655 Galaxie Ave
Saint Paul, MN 55124
Phone (952) 432-4141
Interoperability endpoints
- jklein647321@excellian.direct.allina.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 2180 | NE | |
| Physician Assistant | 363A00000X | 14681 | MN | Yes |
Addresses
Primary practice location
100 State Ave
Faribault, MN 55021-6337
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-9000
Other practice location 1
8200 Dodge St
Omaha, NE 68114-4113
Phone (402) 955-6300
Other names
- Jennifer E Swanstrom
Other providers in Faribault, MN
- Ashley Kimmell
- King Orthodontics LTD
- Darrin Lee King
- Kelly Kitzman
- Steven James Klapmeier
- Stacey Leigh Klempnauer
- Kelly Knaeble
- Stephanie Knowles
- Gregory James Kolden
- Kevin Michael Kopper
All providers in Faribault, MN · Physician Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.