Individual provider Active NPI

Jamie L. Krautwurst, R-PAC

  • Physician Assistant
  • Minneapolis, MN
National Provider Identifier
1972837383
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15249 Issued in MN
Practice address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone
(612) 262-9000
NPI assigned
Oct 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.007866RX OH
Physician Assistant 363A00000X 013608 NY
Physician Assistant 363A00000X 15249 MN Primary

Addresses

Primary practice location

2925 Chicago Ave
Minneapolis, MN 55407-1321

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-5000

Other practice location 1

300 Crittenden Blvd.
Rochester, NY 14642-0001
Phone (585) 276-3700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jamiekrautwurst@excellian.direct.allina.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL, GA, TN, CT, IL, OR, VA, MN9 enrollments
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 9

Enrollment IDStateProvider typePAC IDDetails
I20130808000732 NY Practitioner - Physician Assistant 4688816382 Reassigns benefits to 4 organizations
I20230928004259 FL Practitioner - Physician Assistant 4688816382 Reassigns benefits to 1 organization
I20231003001579 GA Practitioner - Physician Assistant 4688816382
I20231004003597 TN Practitioner - Physician Assistant 4688816382
I20231005001588 CT Practitioner - Physician Assistant 4688816382
I20231013000840 IL Practitioner - Physician Assistant 4688816382
I20231204000318 OR Practitioner - Physician Assistant 4688816382 Reassigns benefits to 1 organization
I20250131003159 VA Practitioner - Physician Assistant 4688816382
I20251113001800 MN Practitioner - Physician Assistant 4688816382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
43 Mr 10585
Minneapolis, MN 55440-0043

PO Box
Suite 43
Minneapolis, MN 55440

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5099TNMDProfessional Counselor
9528AZMDPhysical Therapist
15249MNMDPhysician Assistant
013608NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
University of Rochester CurrentSince Feb 6, 2023 Accepting new patients
Allina Health System CurrentSince Dec 1, 2025 Accepting new patients
Psynergy Health Med PLLC CurrentSince Nov 30, 2025 Accepting new patients
University of Rochester CurrentSince Feb 6, 2023 Accepting new patients
Allina Health System CurrentSince Dec 1, 2025 Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
Virtualcare Medical Group PA CurrentSince Sep 21, 2025 Accepting new patients
Allina Health System Current Accepting new patients
Scottsville Family Medicine, LLC PastSince Sep 12, 2013 Accepting new patients
Rochester General Hospital Past Accepting new patients
Imaging Resource Centers LTD Past Accepting new patients

Locations

4901 Vineland Rd
Ste 350
Orlando, FL 32811
Phone (407) 469-5088

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

300 Crittenden Blvd
Rochester, NY 14642
Phone (585) 275-3569

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

Interoperability endpoints

  • Direct secure messaging: jamiekrautwurst@excellian.direct.allina.com

Organizations & group practices 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1972837383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071321",
            "telephone_number": "612-262-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071321",
            "telephone_number": "612-262-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Crittenden Blvd.",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146420001",
            "country_code": "US",
            "telephone_number": "585-276-3700",
            "fax_number": "585-276-1903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAUTWURST",
        "first_name": "JAMIE",
        "middle_name": "L.",
        "credential": "R-PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-01",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.007866RX",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "013608",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "15249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jamiekrautwurst@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "2925 Chicago Ave",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554071321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.