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Active NPI 1356486963 Individual Practitioner Male Practitioner

Jesse L Goembel , PA-C

Physician Assistant • Fridley, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jesse Goembel, PA-C is a certified Physician Assistant practicing in Fridley, MN. With approximately 20 years of clinical experience since completing medical education in 2006, Jesse Goembel delivers high-quality medical care to the local community at 550 OSBORNE RD NE.

Jesse Goembel is affiliated with Centracare Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

550 Osborne Rd Ne

Fridley, MN 554322718

Telephone 7632365000
Fax 7632363516
Associated Practice Facility / Clinic
🏢 Allina Health System Facility NPI 1760446124

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fridley, MN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
20 Yrs +6.2 yrs vs City Avg
City Avg: 13.8 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
27 Specialists

Practicing in Fridley, MN (4026 Statewide)

Telehealth Adoption Rate
18.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
69.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Goembel (20 Years) 20 Yrs
Fridley Specialty Average (13.8 Years) 13.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes
34 28 $105.71 $31.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
18 16 $350.75 $108.89
99213 Established patient office or other outpatient visit, typically 15 minutes
14 14 $247.45 $76.87

Medical Specialties & State Licenses

CMS Verified: 2020-11-10
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License SD 0643

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
6829150 (SD)
Commercial Insurance / Payer ID Mn Temporary License
1238 (MN)
Commercial Insurance / Payer ID State License
0643 (SD)

Hospital & Practice Group Affiliations

Centracare Clinic

1406 6th Ave No, St Cloud, MN 563031901

Centracare Clinic

1200 6th Ave N, Saint Cloud, MN 563032735

Centracare Clinic

1200 6th N Ave, Saint Cloud, MN 563032735

Phone: 3202525131

Centracare Clinic

1200 6th Ave N, St Cloud, MN 563032735

Phone: 3202525131

Centracare Clinic

1200 6th Ave N, Saint Cloud, MN 563032735

Phone: 3202525131

Centracare Clinic

1406 6th Ave N, St Cloud, MN 563031901

Practice Associates & Co-Workers

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

34 Associated Practitioners
Dr. Kenneth Mcrae , DNP, APRN, CNP

Nurse Practitioner - Acute Care

NPI 1003290685

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Certified Nurse Practitioner

NPI 1003928177

Doctor of Medicine (M.D.)

NPI 1083276117

Doctor of Nursing Practice

Dr. Farah Momen , MD

Internal Medicine

NPI 1083819213

Doctor of Medicine (M.D.)

Dr. Joseph Brandt , DO

Surgery - Surgical Critical Care

NPI 1154776185

Doctor of Osteopathic Medicine (D.O.)

NPI 1184657033

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 26, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location January 26, 2009

Registered at 550 OSBORNE RD NE, FRIDLEY, MN 554322718 (Tel: 7632365000)

📍
Updated Business Mailing Address January 26, 2009

Registered at 550 OSBORNE RD NE, FRIDLEY, MN 554322718 (Tel: 7632365000)

👤
Provider Name / Credentials Updated January 26, 2009

Recorded as JESSE GOEMBEL, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2009

Physician Assistant (License #0643 in SD)

🟢
Initial NPI Registration & Enumeration February 21, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356486963
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2007
Last Update: November 10, 2020
Sole Proprietor: No

Mailing Address

550 Osborne Rd Ne

Fridley, MN 554322718

Phone: 7632365000

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.