Active NPI 1912194291 Individual Practitioner Female Practitioner

Jaclyn Marie Dewalt , PA-C

Physician Assistant • Apple Valley, MN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Jaclyn Dewalt, PA-C is a certified Physician Assistant practicing in Apple Valley, MN. With approximately 19 years of clinical experience since completing medical education in 2007, Jaclyn Dewalt delivers high-quality medical care to the local community at 15350 ENGLISH AVE.

Jaclyn Dewalt is affiliated with Group Health Plan Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

15350 English Ave

Apple Valley, MN 551246252

Telephone 9524318500

Associated Practice Facility / Clinic

🏢 Group Health Plan Inc Facility NPI 1801957717

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Apple Valley, MN

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs +9.0 yrs vs City Avg

City Avg: 10.0 Yrs

State Avg: 10.9 Yrs

Regional Practice Density

28 Specialists

Practicing in Apple Valley, MN (4026 Statewide)

Telehealth Adoption Rate

42.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

68.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dewalt (19 Years) 19 Yrs

Apple Valley Specialty Average (10.0 Years) 10.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	127	59	$21.50	$8.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	77	$403.64	$104.93
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	62	62	$466.70	$105.14
99213 Established patient office or other outpatient visit, typically 15 minutes	50	45	$279.34	$75.10
77067 Screening mammography	15	15	$485.00	$107.37
G0008 Administration of influenza virus vaccine	13	13	$31.00	$30.38
91322 Sarscov2 vac 50 mcg/0.5ml im	13	13	$202.00	$150.12
90480 Admn sarscov2 vacc 1 dose	13	13	$45.00	$41.80
77063 Screening digital tomography of both breasts	13	13	$199.00	$43.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	117	60	$21.00	$8.34
99213 Established patient office or other outpatient visit, typically 15 minutes	90	73	$253.48	$75.85
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	63	63	$288.23	$107.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	50	$369.87	$107.22
G0008 Administration of influenza virus vaccine	25	25	$31.00	$29.91
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	19	19	$24.00	$23.52
77067 Screening mammography	15	15	$449.00	$111.31
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	12	12	$25.25	$6.34
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$393.85	$138.75
77063 Screening digital tomography of both breasts	11	11	$183.00	$45.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	119	69	$21.00	$2.96
99213 Established patient office or other outpatient visit, typically 15 minutes	101	81	$231.06	$76.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	61	61	$274.05	$111.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	37	$340.51	$108.71
G0008 Administration of influenza virus vaccine	27	25	$31.00	$29.42
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	25	23	$20.00	$18.88
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	15	13	$62.00	$20.06
77067 Screening mammography	14	14	$424.00	$112.71
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	12	12	$25.25	$6.39
77063 Screening digital tomography of both breasts	11	11	$175.00	$45.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	121	68	$20.00	$3.00
99213 Established patient office or other outpatient visit, typically 15 minutes	79	66	$196.65	$77.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	42	$294.10	$110.06
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	47	47	$271.35	$112.70
G0008 Administration of influenza virus vaccine	22	21	$31.00	$16.98
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	20	20	$24.25	$6.47
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	18	17	$19.00	$19.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$332.14	$142.94
77067 Screening mammography	13	13	$436.00	$115.34
0064A Adm sarscov2 50mcg/0.25mlbst	11	11	$45.00	$40.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	141	75	$20.57	$2.98
99213 Established patient office or other outpatient visit, typically 15 minutes	104	81	$189.29	$63.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	58	$277.95	$92.83
G0008 Administration of influenza virus vaccine	43	43	$29.27	$16.79
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	35	35	$19.00	$19.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	29	29	$282.07	$95.84
99442 Telephone medical discussion with physician, 11-20 minutes	27	22	$104.60	$63.98
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	22	17	$24.64	$6.42
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	19	19	$384.02	$146.09
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$200.00	$118.92
G0009 Administration of pneumococcal vaccine	15	15	$29.14	$16.77
77067 Screening mammography	15	15	$411.00	$111.84
77063 Screening digital tomography of both breasts	11	11	$166.00	$47.82
99441 Telephone medical discussion with physician, 5-10 minutes	11	11	$53.60	$38.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	158	83	$25.00	$2.92
99213 Established patient office or other outpatient visit, typically 15 minutes	114	79	$174.84	$62.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	94	70	$263.50	$92.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	33	33	$304.24	$95.92
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	30	30	$500.52	$145.66
G0008 Administration of influenza virus vaccine	23	23	$26.35	$16.48
90662 Influenza vaccine split virus, preservative free	22	22	$18.32	$17.95
77067 Screening mammography	16	16	$395.00	$117.48
G0009 Administration of pneumococcal vaccine	15	15	$26.35	$16.48
81001 Manual urinalysis test with examination using microscope, automated	14	11	$37.00	$3.45
77063 Screening digital tomography of both breasts	12	12	$159.00	$47.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	81	53	$24.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	80	46	$304.00	$90.22
99213 Established patient office or other outpatient visit, typically 15 minutes	31	22	$207.00	$61.25
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	19	19	$492.00	$136.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$303.00	$89.77
G0009 Administration of pneumococcal vaccine	15	15	$31.00	$20.39
77067 Screening mammography	14	14	$372.00	$117.01
G0008 Administration of influenza virus vaccine	12	12	$31.00	$20.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	29	20	$24.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	25	19	$204.00	$61.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	14	$301.00	$90.08

Medical Specialties & State Licenses

CMS Verified: 2024-10-14

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MN 10346

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

475488000 (MN)

Hospital & Practice Group Affiliations

Group Health Plan Inc

8325 Seasons Pkwy, Woodbury, MN 551254402

Phone: 6517025868

Group Health Plan Inc

1654 Diffley Rd, Eagan, MN 551222237

Phone: 6516413900

Group Health Plan Inc

8450 Seasons Pkwy, Woodbury, MN 551254402

Phone: 6517025300

Group Health Plan Inc

8600 Nicollet Ave, Bloomington, MN 554202824

Phone: 9528841148

Group Health Plan Inc

15350 English Ave, Apple Valley, MN 551246252

Phone: 9524318500

Group Health Plan Inc

401 Phalen Blvd, Saint Paul, MN 551305302

Phone: 6512547400

Group Health Plan Inc

435 Phalen Blvd, Saint Paul, MN 551305302

Phone: 6512912848

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

33 Associated Practitioners

Dr. Alyssa Kong , DNP, APRN, FNP-C

Nurse Practitioner

NPI 1043800071

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Jamie Gamache , MD

Obstetrics & Gynecology

NPI 1043830730

Doctor of Medicine (M.D.)

John Boettger

Physician Assistant

NPI 1053807719

Constance Braun , FNP

Nurse Practitioner

NPI 1174598841

Family Nurse Practitioner

Jennifer Hagen

Obstetrics & Gynecology

NPI 1235626532

Dr. Julie Saxton , MD

Pediatrics

NPI 1245210095

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location October 14, 2024

Registered at 15350 ENGLISH AVE, APPLE VALLEY, MN 551246252 (Tel: 9524318500)

📍

Updated Business Mailing Address October 14, 2024

Registered at 8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 554254516

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2024

Physician Assistant (License #10346 in MN)

✅

NPI Profile Active December 05, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location December 05, 2011

Registered at 15290 PENNOCK LN, APPLE VALLEY, MN 551247163 (Tel: 9524318500)

📍

Updated Business Mailing Address December 05, 2011

Registered at 15290 PENNOCK LN, APPLE VALLEY, MN 551247163

👤

Provider Name / Credentials Updated December 05, 2011

Recorded as JACLYN DEWALT, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2011

Physician Assistant

🟢

Initial NPI Registration & Enumeration October 01, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1912194291

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 01, 2007

Last Update: October 14, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

8170 33rd Ave S, Ms 21110q

Bloomington, MN 554254516

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.