Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639163249 Individual Practitioner Female Practitioner

Jennifer Lynn Smith , PA-C

Physician Assistant • Richfield, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jennifer Smith, PA-C is a certified Physician Assistant practicing in Richfield, MN. With approximately 22 years of clinical experience since completing medical education in 2004, Jennifer Smith delivers high-quality medical care to the local community at 6445 RICHFIELD PKWY.

Jennifer Smith is affiliated with Minuteclinic Diagnostic Of Minnesota Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include admn sarscov2 vacc 1 dose, sarscov2 vac 50 mcg/0.5ml im, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6445 Richfield Pkwy

Richfield, MN 554236400

Telephone 8663892727
Associated Practice Facility / Clinic
🏢 Grand St Paul Cvs Llc Facility NPI 1427242569

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Richfield, MN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
22 Yrs +7.1 yrs vs City Avg
City Avg: 14.9 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
9 Specialists

Practicing in Richfield, MN (4026 Statewide)

Telehealth Adoption Rate
33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
41.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (22 Years) 22 Yrs
Richfield Specialty Average (14.9 Years) 14.9 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
90480 Admn sarscov2 vacc 1 dose
19 19 $59.16 $40.98
91322 Sarscov2 vac 50 mcg/0.5ml im
17 17 $237.80 $152.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
14 14 $176.49 $93.61
99213 Established patient office or other outpatient visit, typically 15 minutes
14 14 $143.63 $71.75

Medical Specialties & State Licenses

CMS Verified: 2025-04-23
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MN 9950

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License MN 9952

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
504193700 (MN)

Hospital & Practice Group Affiliations

Minuteclinic Diagnostic Of Minnesota Pa

6445 Richfield Pkwy, Richfield, MN 554236400

Phone: 8663892727

Minuteclinic Diagnostic Of Minnesota Pa

1411 Vermillion St, Hastings, MN 550332844

Phone: 8663892727

Minuteclinic Diagnostic Of Minnesota Pa

1500 109th Ave Ne, Blaine, MN 554494670

Phone: 8663892727

Practice Associates & Co-Workers

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

40 Associated Practitioners
Nicole Wagschal , MSN APRN

Nurse Practitioner - Family

NPI 1003013525

MSNAPRN

Shelly Gallini , PA-C

Physician Assistant

NPI 1003089210

Physician Assistant (Certified)

Dr. Lilia Pino , PhD, ARNP

Nurse Practitioner - Family

NPI 1003094855

Doctor of Philosophy (Ph.D.), Advanced Registered Nurse Practitioner

Maria Gagliano , FNP

Nurse Practitioner - Family

NPI 1003160532

Family Nurse Practitioner

Jennifer Price , APRN

Nurse Practitioner - Family

NPI 1003185570

Advanced Practice Registered Nurse

Megan Lottes , NP-C

Nurse Practitioner - Family

NPI 1003196965

Nurse Practitioner (Certified)

Career & Practice History Timeline

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

16 Historical Events
📍
Updated Practice Location April 23, 2025

Registered at 6445 RICHFIELD PKWY, RICHFIELD, MN 554236400 (Tel: 8663892727)

📍
Updated Business Mailing Address April 23, 2025

Registered at 6445 RICHFIELD PKWY, RICHFIELD, MN 554236400 (Tel: 8663892727)

📍
Updated Practice Location March 26, 2020

Registered at 810 COUNTY ROAD 42 W, BURNSVILLE, MN 553374426 (Tel: 8663892727)

📍
Updated Business Mailing Address March 26, 2020

Registered at 810 COUNTY ROAD 42 W, BURNSVILLE, MN 553374426 (Tel: 8663892727)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2020

Physician Assistant (License #9952 in MN)

NPI Profile Active May 11, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 11, 2017

Registered at 18275 KENRICK AVE, LAKEVILLE, MN 550447306 (Tel: 8663892727)

📍
Updated Business Mailing Address May 11, 2017

Registered at 17578 DODD BLVD, LAKEVILLE, MN 550443909 (Tel: 8663892727)

👤
Provider Name / Credentials Updated May 11, 2017

Recorded as JENNIFER SMITH, PAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2017

Physician Assistant (License #9950 in MN)

NPI Profile Active September 16, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 16, 2016

Registered at 17578 DODD BLVD, LAKEVILLE, MN 550443909 (Tel: 8663892727)

📍
Updated Business Mailing Address September 16, 2016

Registered at 17578 DODD BLVD, LAKEVILLE, MN 550443909 (Tel: 8663892727)

👤
Provider Name / Credentials Updated September 16, 2016

Recorded as JENNIFER SMITH, PAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2016

Physician Assistant (License #9950 in MN)

🟢
Initial NPI Registration & Enumeration September 09, 2005

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: 1639163249
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 09, 2005
Last Update: April 23, 2025
Sole Proprietor: No

Mailing Address

6445 Richfield Pkwy

Richfield, MN 554236400

Phone: 8663892727

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.