Jennifer Thul, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

740 Portland Ave Ste C101
Minneapolis, MN 55415-3603

Phone

(612) 682-2008

NPI assigned

Dec 31, 2024

Last updated

Feb 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Creighton University School of Medicine, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minnesota Oral and Facial Surgery PLLCGroup PAC ID 7517383987, 4 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.

• Minnesota Oral and Facial Surgery PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Sartell, MN
  • NPI 1194363275
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1735603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1912716374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 PORTLAND AVE STE C101",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554153603",
            "telephone_number": "612-682-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 PORTLAND AVE STE C101",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554153603",
            "telephone_number": "612-682-2008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2380 Troop Drive",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Sartell",
            "state": "MN",
            "postal_code": "56377",
            "country_code": "US",
            "telephone_number": "320-348-7470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 South 1st Street",
            "address_purpose": "LOCATION",
            "city": "Wilmar",
            "state": "MN",
            "postal_code": "56201",
            "country_code": "US",
            "telephone_number": "320-403-9035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THUL",
        "first_name": "JENNIFER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-31",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thrive Social Services
• Thrive Therapy Inc
• Kristi Lynn Thronson, LPN
• Through Therapy Collective, Inc
• Thryve Mental Health, Inc
• Jessica L Thul, RD, LD
• Vivek Thumbigere Math, B.D.S
• Kimberly Thumser, PHARMD
• Bethanie Ruth Thunstrom, MD
• Julia Thurau

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.