NPIMap

Individual provider Active NPI

Jennifer Josephine Didier, PA

  • Physician Assistant
  • Brooklyn Center, MN
National Provider Identifier
1669987822
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
6000 Earle Brown Dr
Brooklyn Center, MN 55430-2506
Phone
(952) 993-4900
Fax
(952) 993-4827
NPI assigned
Dec 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

6000 Earle Brown Dr
Brooklyn Center, MN 55430-2506

Mailing address

8170 33Rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516

Other practice location 1

14133 Edgewood Drive North
EH Convenient Care Baxter
Baxter, MN 56425
Phone (218) 454-5802

Other practice location 2

13060 Isle Dr
Baxter, MN 56425-8331
Phone (218) 828-2880

Other names 1

  • Jennifer Josephine Snaza Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180315000071 MN Practitioner - Physician Assistant 5991067720 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Josephs Medical CenterGroup PAC ID 8224948443, 238 clinicians
Park Nicollet ClinicGroup PAC ID 7911819438, 1,778 clinicians

Practice addresses (Care Compare)

13060 Isle Dr
Baxter, MN 56425-8331
Phone (218) 828-2880

2001 Blaisdell Ave
Minneapolis, MN 55404-2414
Phone (952) 993-8000

24087 Cuyuna St
Deerwood, MN 56444-3301
Phone (218) 833-5160

3800 Park Nicollet Blvd
St Louis Park, MN 55416-2527
Phone (952) 993-3123

3850 Park Nicollet Blvd
St Louis Park, MN 55416-2527
Phone (952) 993-3123

523 N 3Rd St
Brainerd, MN 56401-3054
Phone (218) 828-7394

5320 Hyland Greens Dr
Bloomington, MN 55437-3934
Phone (952) 993-2400

Hospital & facility affiliations

  • Essentia Health St Joseph'S Medical Center Hospital, Brainerd, MN, CCN 240075
  • Park Nicollet Methodist Hospital Hospital, Saint Louis Park, MN, CCN 240053

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12652MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph'S Medical Center CurrentSince Mar 5, 2018 Accepting new patients
St Joseph'S Medical Center CurrentSince Mar 5, 2018 Accepting new patients
Brainerd Medical Center Inc. CurrentSince Mar 5, 2018 Accepting new patients
Park Nicollet Methodist Hospital CurrentSince Jun 16, 2025 Accepting new patients
Park Nicollet Clinic CurrentSince Jun 16, 2025 Accepting new patients
Brainerd Medical Center Inc CurrentSince Mar 5, 2018 Accepting new patients
Brainerd Medical Center Inc CurrentSince Mar 5, 2018 Accepting new patients
St. Joseph'S Medical Center Past Accepting new patients

Locations

14133 Edgewood Dr
Baxter, MN 56425
Phone (218) 454-5802

523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394

13060 Isle Dr
Brainerd, MN 56425
Phone (218) 454-5920

2024 S 6th St
Brainerd, MN 56401
Phone (218) 828-2880

400 E 3rd St
#2
Duluth, MN 55805
Phone (218) 786-8319

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

6000 Earle Brown Dr
Minneapolis, MN 55430
Phone (952) 993-4800

5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400

Organizations & group practices 11

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1669987822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S # MS 21110Q",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554254516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 EARLE BROWN DR",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302506",
            "telephone_number": "952-993-4900",
            "fax_number": "952-993-4827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14133 Edgewood Drive North",
            "address_2": "EH Convenient Care Baxter",
            "address_purpose": "LOCATION",
            "city": "Baxter",
            "state": "MN",
            "postal_code": "56425",
            "country_code": "US",
            "telephone_number": "218-454-5802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13060 Isle Dr",
            "address_purpose": "LOCATION",
            "city": "Baxter",
            "state": "MN",
            "postal_code": "564258331",
            "country_code": "US",
            "telephone_number": "218-828-2880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIDIER",
        "first_name": "JENNIFER",
        "middle_name": "JOSEPHINE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SNAZA",
            "middle_name": "JOSEPHINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooklyn Center, MN

Sources for this page

Verify at the official NPI Registry.