Jami Juras, PA
Individual provider Active NPI Medical Physician Assistant · Delano, MN
NPI 1720155294 · NPPES record last updated Dec 3, 2018
Key facts
- NPI
- 1720155294
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 12743 (MN)
- Practice address
- 916 Saint Peter St
Delano, MN 55328-2813 - Phone
- (952) 442-7800
- Fax
- (763) 972-7234
- NPI assigned
- Nov 29, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ridgeview Medical Center
Practice addresses (Care Compare)
165 W Commerce Dr
Belle Plaine, MN 56011-2911
Phone (952) 777-5661
560 S Maple St
Waconia, MN 55387-1759
7907 Powers Blvd
Chanhassen, MN 55317-9502
Phone (952) 934-0570
916 Saint Peter Ave E
Delano, MN 55328-2813
Phone (952) 442-7800
Hospital & facility affiliations
- Ridgeview Medical Center
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 |
|---|---|---|---|---|
| I20190124002345 | MN | Practitioner - Physician Assistant | 8426019498 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15473 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| PA15473 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ridgeview Medical Center | Current |
Accepting new patients | |
| Ridgeview Medical Center | Current |
Accepting new patients |
Locations
7907 Powers Blvd
Chanhassen, MN 55317
Phone (952) 934-0570
916 Saint Peter Ave E
Delano, MN 55328
Phone (763) 972-9172
500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191
500 S Maple St
Ofc
Waconia, MN 55387
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA15473 | CA | |
| Medical Physician Assistant | 363AM0700X | 12743 | MN | Yes |
Addresses
Primary practice location
916 Saint Peter St
Delano, MN 55328-2813
Mailing address
500 S Maple St
Attn: Medical Staff Office
Waconia, MN 55387-1791
Phone (952) 442-2191
Other providers in Delano, MN
- Hutchinson Superstore Inc
- Independent School District 879
- Integrated Wound Care Minnesota PLLC
- Briana Johnson
- Rachel Kathleen Johnson
- Elizabeth Kiewel
- King Chiropractic LLC
- Nathan King
- Mauren Lynn Kittock
- Beth K Kivisto
All providers in Delano, MN · Medical 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 Dec 3, 2018. 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.