Active NPI
Jennifer C Cleary, PA-C
- Physician Assistant
- Bloomington, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 13713
- Practice address
- 5705 W Old Shakopee Rd Ste 150
Bloomington, MN 55437-3126 - Phone
- (612) 871-1145
- Fax
- (612) 870-5491
- NPI assigned
- Jul 2, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 13713 | MN | Primary |
Addresses
Primary practice location
5705 W Old Shakopee Rd Ste 150
Bloomington, MN 55437-3126
Mailing address
4917 Eden Ave Apt 225
Edina, MN 55424-2201
Phone (612) 871-1145
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10150 Niagara LN N
Suite 210
Maple Grove, MN 55369-7588
Phone (612) 871-1145
1185 Town Centre Dr
Suite 200
Eagan, MN 55123-1343
Phone (612) 871-1145
15700 37TH Ave N
Plymouth, MN 55446-3399
Phone (612) 871-1145
201 E Nicollet Blvd
Burnsville, MN 55337-5714
Phone (612) 892-2121
3588 Arcade St
Suite 110
Vadnais Heights, MN 55127-7135
Phone (612) 871-1145
5705 W Old Shakopee Rd
Suite 150
Bloomington, MN 55437-3126
Phone (612) 871-1145
6401 France Ave S
Edina, MN 55435-2104
Phone (952) 924-5000
800 E 28TH St
Minneapolis, MN 55407-3723
Phone (612) 863-4633
Hospital & facility affiliations
- Abbott Northwestern Hospital
- M Health Fairview Southdale Hospital
- M Health Fairview Ridges Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 94.23
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13713 | MN | MD | Physician Assistant |
Interoperability endpoints
- jennifer.dewingpac.p1@direct.mngastro.nextgenshare.com
Organizations & group practices 1
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.
-
- Gastroenterology Physician
- Minneapolis, MN
- NPI 1609804541
Hospital & facility affiliations 28
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obesity Medicine (Family Medicine) Physician
- Minneapolis, MN
- NPI 1154684835
Hospital
-
- Physical Medicine & Rehabilitation Physician
- Minneapolis, MN
- NPI 1275577215
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757980800000",
"number": "1972174886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4917 EDEN AVE APT 225",
"city": "EDINA",
"state": "MN",
"postal_code": "554242201",
"telephone_number": "612-871-1145",
"fax_number": "612-870-5491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5705 W OLD SHAKOPEE RD STE 150",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554373126",
"telephone_number": "612-871-1145",
"fax_number": "612-870-5491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEARY",
"first_name": "JENNIFER",
"middle_name": "C",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-02",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "13713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.