Michael J Jaeger, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2480 White Bear Ave N Ste 104
Maplewood, MN 55109-4568

Phone

(612) 444-3247

Fax

(612) 888-9247

NPI assigned

Feb 17, 2023

Last updated

Jul 1, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allergy and Asthma Center of Minnesota PLLCGroup PAC ID 1456575695, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

• Allergy and Asthma Center of Minnesota PLLC

  • Allergy & Immunology Physician
  • Maplewood, MN
  • NPI 1770900797
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1427756626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 WHITE BEAR AVE N STE 104",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551094568",
            "telephone_number": "612-444-3247",
            "fax_number": "612-888-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 WHITE BEAR AVE N STE 104",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551094568",
            "telephone_number": "612-444-3247",
            "fax_number": "612-888-9247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12940 Harriet Ave S Ste 220",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553372794",
            "country_code": "US",
            "telephone_number": "612-888-3247",
            "fax_number": "612-888-9247",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8301 Golden Valley Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Golden Valley",
            "state": "MN",
            "postal_code": "554274469",
            "country_code": "US",
            "telephone_number": "612-444-3247",
            "fax_number": "612-888-9247",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8325 City Centre Dr Ste 140",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "551253323",
            "country_code": "US",
            "telephone_number": "612-444-3247",
            "fax_number": "612-888-9247",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4181 108th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Blaine",
            "state": "MN",
            "postal_code": "554497439",
            "country_code": "US",
            "telephone_number": "612-444-3247",
            "fax_number": "612-888-9247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAEGER",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-17",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1200578",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Margaret Colette Jackson, MD
• Katrina Margaret Jackson, CNP
• Thomas R. Jacques, M.D.
• Raeann Jaeb, OTR/L
• Laura Lea Jaeger, DPT
• Thyra Jagger
• Andrea Suzanne Jagusch, LICSW
• Louie Anthony Garcia Jain, MD
• Catherine Ann Jaksha, LADC, LPCC
• Donna M Jalonen, MSW LICSW

• Physician Assistant in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.