Individual provider Active NPI

Jessica Chen Thonack, PA-C

  • Physician Assistant
  • Robbinsdale, MN
National Provider Identifier
1629746466
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3366 Oakdale Ave N Ste 303
Robbinsdale, MN 55422-2977
Phone
(763) 520-7700
Fax
(833) 905-2110
NPI assigned
Sep 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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 Primary

Addresses

Primary practice location

3366 Oakdale Ave N Ste 303
Robbinsdale, MN 55422-2977

Mailing address

3001 Metro Dr Ste 460
Bloomington, MN 55425-1548
Phone (763) 520-7700

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
I20231016002332 MN Practitioner - Physician Assistant 6305291055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minnesota Urology, PAGroup PAC ID 0840183984, 83 clinicians

Practice addresses (Care Compare)

560 S Maple St
Suite 220
Waconia, MN 55387-1757
Phone (763) 520-7700

6025 Lake Rd
Suite 200
Woodbury, MN 55125-1710
Phone (651) 999-6800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.84 of 100Reported as group
Quality
64.59
Promoting interoperability
100
Improvement activities
40
Cost
84.88

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Urologic Specialists PA PastSince Oct 1, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jessica.thonack.1@20581.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1630713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1629746466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 METRO DR STE 460",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251548",
            "telephone_number": "763-520-7700",
            "fax_number": "833-905-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3366 OAKDALE AVE N STE 303",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554222977",
            "telephone_number": "763-520-7700",
            "fax_number": "833-905-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THONACK",
        "first_name": "JESSICA",
        "middle_name": "CHEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-04",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Robbinsdale, MN

Sources for this page

Verify at the official NPI Registry.