Individual provider Active NPI

Jacob Ginther

  • Physician Assistant
  • Minneapolis, MN
National Provider Identifier
1972118016
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
14328 Issued in MN
Practice address
1300 S 2ND St Ste 180
Minneapolis, MN 55454-5000
Phone
(612) 626-1500
Fax
(612) 626-8311
NPI assigned
Sep 15, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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 14328 MN Primary

Addresses

Primary practice location

1300 S 2ND St Ste 180
Minneapolis, MN 55454-5000

Mailing address

1300 S 2ND St Ste 180
Minneapolis, MN 55454-5000
Phone (612) 626-1500

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
I20230213001534 MN Practitioner - Physician Assistant 6901278308 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians

Practice addresses (Care Compare)

1300 S 2ND St
Suite 180
Minneapolis, MN 55454-5000
Phone (612) 672-7422

6341 University Ave NE
Fridley, MN 55432-4946
Phone (763) 572-5700

717 Delaware St SE
Suite 340
Minneapolis, MN 55414-2959
Phone (612) 672-7422

Merit-based Incentive Payment System (MIPS)

Final score
87.99 of 100Reported as group
Quality
90.38
Promoting interoperability
87
Improvement activities
40
Cost
77.1

Merit-based Incentive Payment System (MIPS)

Final score
88.63 of 100Reported as group
Quality
75.41
Promoting interoperability
100
Improvement activities
40
Cost
75.75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services CurrentSince Dec 8, 2023 Accepting new patients
University of Minnesota Health Clinics and Surgery Center Inc CurrentSince Dec 11, 2023 Accepting new patients
Fairview Health Services CurrentSince Dec 8, 2023 Accepting new patients
Fairview Express Care CurrentSince Dec 11, 2023 Accepting new patients
Fairview Clinics CurrentSince Dec 8, 2023 Accepting new patients
University of Minnesota Physicians CurrentSince Dec 11, 2023 Accepting new patients
University of Minnesota Physicians CurrentSince Dec 11, 2023 Accepting new patients
Fairview Express Care CurrentSince Dec 11, 2023 Accepting new patients
Fairview Clinics CurrentSince Dec 8, 2023 Accepting new patients
Cardiothoracic Surgery Clinic of North Ms Past Accepting new patients
University of Minnesota Health Clinics and Surgery Center, Inc. Past Accepting new patients

Locations

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

701 25th Ave S
Minneapolis, MN 55454
Phone (612) 330-1399

1300 S 2nd St
Ste 180
Minneapolis, MN 55454
Phone (612) 625-1500

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342

Interoperability endpoints

  • Direct secure messaging: jginther407160@fairview.direct-ci.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1972118016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S 2ND ST STE 180",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554545000",
            "telephone_number": "612-626-1500",
            "fax_number": "612-626-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S 2ND ST STE 180",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554545000",
            "telephone_number": "612-626-1500",
            "fax_number": "612-626-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINTHER",
        "first_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-15",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "14328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.