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Active NPI 1669400156 Individual Practitioner Female Practitioner

Jody Ann Mikkelson , PA-C

Physician Assistant • Maple Grove, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jody Mikkelson, PA-C is a certified Physician Assistant practicing in Maple Grove, MN. With approximately 26 years of clinical experience since completing medical education in 2000, Jody Mikkelson delivers high-quality medical care to the local community at 9825 HOSPITAL DR STE 300.

Jody Mikkelson is affiliated with North Clinic Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, established patient outpatient office visit, blood test, basic group of blood chemicals (calcium, total). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9825 Hospital Dr Ste 300

Maple Grove, MN 553694768

Telephone 7635877900
Fax 7634947501
Associated Practice Facility / Clinic
🏢 North Clinic, Pa Facility NPI 1235304726

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Maple Grove, MN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
26 Yrs +14.8 yrs vs City Avg
City Avg: 11.2 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
63 Specialists

Practicing in Maple Grove, MN (4026 Statewide)

Telehealth Adoption Rate
38.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
71.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mikkelson (26 Years) 26 Yrs
Maple Grove Specialty Average (11.2 Years) 11.2 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
114 66 $14.00 $8.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
105 62 $425.00 $105.79
80048 Blood test, basic group of blood chemicals (calcium, total)
75 54 $15.00 $8.29
80061 Blood test, lipids (cholesterol and triglycerides)
57 47 $24.00 $13.12
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
55 29 $37.31 $13.36
99213 Established patient office or other outpatient visit, typically 15 minutes
48 39 $300.00 $74.85
83036 Hemoglobin A1C level
34 22 $17.00 $9.52
84443 Blood test, thyroid stimulating hormone (TSH)
33 23 $30.00 $16.46
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test
28 22 $12.00 $6.34
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
28 28 $456.00 $106.93
84439 Thyroxine (thyroid chemical), free
23 18 $16.00 $8.84
80076 Liver function blood test panel
18 17 $15.00 $8.01
82306 Vitamin d-3 level
17 16 $52.00 $29.01
81001 Manual urinalysis test with examination using microscope, automated
17 11 $6.00 $3.11
G0008 Administration of influenza virus vaccine
12 12 $73.00 $31.34
93000 Routine ekg using at least 12 leads including interpretation and report
12 11 $81.00 $11.74

Medical Specialties & State Licenses

CMS Verified: 2022-11-08
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MN 9584

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
201932900 (MN)

Hospital & Practice Group Affiliations

North Clinic Pa

9825 Hospital Dr, Maple Grove, MN 553694768

Phone: 7635877900

North Clinic Pa

50 Central Ave, Osseo, MN 553691241

Phone: 7635877900

North Clinic Pa

5109 36th Ave N, Crystal, MN 554222007

Phone: 7635877900

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003852559

Doctor of Medicine (M.D.)

Dr. Kathryn Flory , MD

Obstetrics & Gynecology

NPI 1013953488

Doctor of Medicine (M.D.)

Dr. Tiffany Panait , MD

Colon & Rectal Surgery

NPI 1023276789

Doctor of Medicine (M.D.)

Dr. Caitlin Kuck , MD

Obstetrics & Gynecology

NPI 1033521059

Doctor of Medicine (M.D.)

Dr. Kristin Kipka , DO

Family Medicine

NPI 1063779973

Doctor of Osteopathic Medicine (D.O.)

Dr. Asim Khan , MD

Internal Medicine - Rheumatology

NPI 1073557641

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location November 08, 2022

Registered at 9825 HOSPITAL DR STE 300, MAPLE GROVE, MN 553694768 (Tel: 7635877900)

📍
Updated Business Mailing Address November 08, 2022

Registered at 9201 W BROADWAY AVE STE 601, BROOKLYN PARK, MN 554451924 (Tel: 7635877900)

NPI Profile Active June 14, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 14, 2016

Registered at 9825 HOSPITAL DR, SUITE 300, MAPLE GROVE, MN 553694479 (Tel: 7634947500)

📍
Updated Business Mailing Address June 14, 2016

Registered at 9825 HOSPITAL DR, SUITE 300, MAPLE GROVE, MN 55369 (Tel: 7635877900)

👤
Provider Name / Credentials Updated June 14, 2016

Recorded as JODY MIKKELSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2016

Physician Assistant (License #9584 in MN)

🟢
Initial NPI Registration & Enumeration June 30, 2006

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: 1669400156
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2006
Last Update: November 08, 2022
Sole Proprietor: No

Mailing Address

9201 W Broadway Ave Ste 601

Brooklyn Park, MN 554451924

Phone: 7635877900

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.