Active NPI 1841661824 Individual Practitioner Female Practitioner

Jennifer Poethke Idiculla , PA-C

Physician Assistant • Saint Michael, MN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Jennifer Idiculla, PA-C is a certified Physician Assistant practicing in Saint Michael, MN. With approximately 11 years of clinical experience since completing medical education in 2015, Jennifer Idiculla delivers high-quality medical care to the local community at 4300 EDGEWOOD DR NE.

Jennifer Idiculla is affiliated with Allina Health System and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

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

Practice Location & Contact Primary Location

Practice Address

4300 Edgewood Dr Ne

Saint Michael, MN 553764588

Telephone 7637444000

Associated Practice Facility / Clinic

🏢 Allina Health System Facility NPI 1881990521

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Saint Michael, MN

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs +1.6 yrs vs City Avg

City Avg: 9.4 Yrs

State Avg: 10.9 Yrs

Regional Practice Density

5 Specialists

Practicing in Saint Michael, MN (4026 Statewide)

Telehealth Adoption Rate

60.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

70.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Idiculla (11 Years) 11 Yrs

Saint Michael Specialty Average (9.4 Years) 9.4 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	45	$408.50	$105.06
36415 Insertion of needle into vein for collection of blood sample	51	36	$17.00	$8.52
99213 Established patient office or other outpatient visit, typically 15 minutes	31	24	$288.90	$75.15
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	26	16	$62.60	$13.42
83036 Hemoglobin A1C level	24	17	$45.20	$9.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	22	22	$413.90	$107.89
80053 Blood test, comprehensive group of blood chemicals	19	19	$49.40	$10.05
84443 Blood test, thyroid stimulating hormone (TSH)	18	14	$78.80	$16.46
80061 Blood test, lipids (cholesterol and triglycerides)	18	18	$63.00	$12.72
90653 Vaccine for influenza for injection into muscle	12	12	$110.00	$81.82
G0008 Administration of influenza virus vaccine	12	12	$28.10	$27.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	53	$394.40	$105.77
36415 Insertion of needle into vein for collection of blood sample	84	50	$17.00	$8.30
99213 Established patient office or other outpatient visit, typically 15 minutes	43	32	$279.70	$74.11
80053 Blood test, comprehensive group of blood chemicals	27	27	$49.40	$10.35
83036 Hemoglobin A1C level	25	22	$45.20	$9.52
80061 Blood test, lipids (cholesterol and triglycerides)	24	23	$63.00	$13.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$402.80	$108.70
G0008 Administration of influenza virus vaccine	18	18	$27.30	$26.75
85018 Blood count, hemoglobin	17	16	$11.60	$2.18
80048 Blood test, basic group of blood chemicals (calcium, total)	16	13	$39.90	$8.29
82565 Blood creatinine level	16	13	$24.20	$5.02
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	16	12	$36.80	$7.61
82043 Urine microalbumin (protein) level	14	13	$27.30	$5.66
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	14	14	$55.00	$53.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	54	$378.70	$109.12
36415 Insertion of needle into vein for collection of blood sample	76	49	$17.00	$2.97
99213 Established patient office or other outpatient visit, typically 15 minutes	34	32	$266.40	$77.06
80061 Blood test, lipids (cholesterol and triglycerides)	26	23	$60.00	$13.25
80053 Blood test, comprehensive group of blood chemicals	24	23	$47.00	$10.44
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	23	22	$229.60	$74.45
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	23	22	$25.00	$24.82
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	21	20	$35.00	$7.72
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$387.70	$111.57
84443 Blood test, thyroid stimulating hormone (TSH)	20	17	$75.00	$16.60
80048 Blood test, basic group of blood chemicals (calcium, total)	18	17	$38.00	$8.41
83036 Hemoglobin A1C level	17	14	$43.00	$9.60
82043 Urine microalbumin (protein) level	14	14	$26.00	$5.72
81001 Manual urinalysis test with examination using microscope, automated	13	11	$14.00	$3.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	150	87	$17.00	$3.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	69	$304.00	$110.42
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	64	61	$229.60	$75.00
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	64	61	$25.00	$25.00
85610 Blood test, clotting time	61	14	$19.00	$4.29
99213 Established patient office or other outpatient visit, typically 15 minutes	60	46	$210.00	$77.85
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	58	41	$35.00	$7.77
80053 Blood test, comprehensive group of blood chemicals	41	38	$47.00	$10.56
80048 Blood test, basic group of blood chemicals (calcium, total)	41	30	$38.00	$8.46
80061 Blood test, lipids (cholesterol and triglycerides)	37	36	$60.00	$13.39
83036 Hemoglobin A1C level	35	21	$43.00	$9.71
81001 Manual urinalysis test with examination using microscope, automated	26	21	$14.00	$3.17
84443 Blood test, thyroid stimulating hormone (TSH)	26	20	$75.00	$16.80
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	25	25	$323.00	$113.13
82043 Urine microalbumin (protein) level	22	22	$26.00	$5.78
87086 Bacterial colony count, urine	20	16	$36.00	$8.07
82607 Cyanocobalamin (vitamin B-12) level	17	15	$67.00	$15.08
G0008 Administration of influenza virus vaccine	17	17	$26.00	$17.01
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	16	16	$48.00	$48.00
0064A Adm sarscov2 50mcg/0.25mlbst	15	15	$100.00	$40.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	151	91	$17.00	$2.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	63	$304.00	$91.25
99213 Established patient office or other outpatient visit, typically 15 minutes	62	45	$187.87	$58.43
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	48	44	$33.00	$7.73
85610 Blood test, clotting time	43	11	$18.00	$4.28
80053 Blood test, comprehensive group of blood chemicals	40	37	$45.00	$10.53
80061 Blood test, lipids (cholesterol and triglycerides)	38	34	$57.00	$13.35
83036 Hemoglobin A1C level	29	23	$41.00	$9.69
G0008 Administration of influenza virus vaccine	28	28	$26.00	$16.81
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	23	23	$46.00	$46.00
80048 Blood test, basic group of blood chemicals (calcium, total)	23	21	$36.00	$8.42
84443 Blood test, thyroid stimulating hormone (TSH)	22	19	$71.00	$16.75
81001 Manual urinalysis test with examination using microscope, automated	22	20	$13.00	$3.16
99442 Telephone medical discussion with physician, 11-20 minutes	20	17	$208.00	$63.39
82565 Blood creatinine level	20	18	$22.00	$5.09
87086 Bacterial colony count, urine	15	14	$34.00	$8.03
82043 Urine microalbumin (protein) level	14	14	$25.00	$5.76
85018 Blood count, hemoglobin	14	13	$10.00	$2.37
84132 Blood potassium level	14	12	$20.00	$4.73
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	13	13	$326.00	$98.23
99443 Telephone medical discussion with physician, 21-30 minutes	12	11	$304.00	$92.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	192	102	$17.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	113	72	$293.00	$91.03
85610 Blood test, clotting time	61	19	$17.00	$4.28
99213 Established patient office or other outpatient visit, typically 15 minutes	60	50	$199.00	$61.74
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	59	40	$32.00	$8.46
80053 Blood test, comprehensive group of blood chemicals	36	26	$43.00	$11.51
81001 Manual urinalysis test with examination using microscope, automated	31	23	$13.00	$3.45
83036 Hemoglobin A1C level	26	21	$40.00	$10.57
80048 Blood test, basic group of blood chemicals (calcium, total)	24	16	$35.00	$9.21
82565 Blood creatinine level	22	18	$21.00	$5.58
80061 Blood test, lipids (cholesterol and triglycerides)	19	19	$55.00	$14.58
87086 Bacterial colony count, urine	18	14	$33.00	$8.79
84443 Blood test, thyroid stimulating hormone (TSH)	17	16	$69.00	$18.30
82306 Vitamin d-3 level	15	15	$121.00	$32.23
93000 Routine ekg using at least 12 leads including interpretation and report	15	14	$57.00	$14.23
G0008 Administration of influenza virus vaccine	14	14	$26.00	$16.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	50	$275.00	$88.67
36415 Insertion of needle into vein for collection of blood sample	60	40	$17.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	51	45	$186.00	$60.69
G0008 Administration of influenza virus vaccine	18	18	$26.00	$20.39
90653 Vaccine for influenza for injection into muscle	15	15	$41.00	$38.00
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	13	11	$26.00	$7.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	28	$424.50	$66.33

Medical Specialties & State Licenses

CMS Verified: 2023-01-12

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MN 1289

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.

Hospital & Practice Group Affiliations

Allina Health System

4300 Edgewood Dr Ne, St Michael, MN 553764588

Phone: 7637444000

Allina Health System

440 Elm St E, Annandale, MN 553021109

Phone: 3206825225

Practice Associates & Co-Workers

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

12 Associated Practitioners

Dr. Krista Honsey , DO

Obstetrics & Gynecology

NPI 1083643936

Doctor of Osteopathic Medicine (D.O.)

April Dornsbach , PA-C

Physician Assistant - Medical

NPI 1114112075

Physician Assistant (Certified)

Dr. Catherine Pham , MD

Pediatrics

NPI 1124096730

Doctor of Medicine (M.D.)

Jenna Haugo

Nurse Practitioner

NPI 1144618885

Emily Walker , PA-C

Physician Assistant

NPI 1184092785

Physician Assistant (Certified)

Dr. Stewart Sahlberg , DO

Family Medicine

NPI 1215999297

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

14 Historical Events

📍

Updated Business Mailing Address January 12, 2023

Registered at 2925 CHICAGO AVE, MINNEAPOLIS, MN 554071321 (Tel: 6122629000)

👤

Provider Name / Credentials Updated October 10, 2022

Recorded as JENNIFER IDICULLA, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2019

Physician Assistant (License #1289 in MN)

✅

NPI Profile Active September 20, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 20, 2017

Registered at 4300 EDGEWOOD DR NE, SAINT MICHAEL, MN 553764588 (Tel: 7637444000)

📍

Updated Business Mailing Address September 20, 2017

Registered at 4300 EDGEWOOD DR NE, SAINT MICHAEL, MN 553764588 (Tel: (763) 744-4000)

👤

Provider Name / Credentials Updated September 20, 2017

Recorded as JENNIFER POETHKE

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2017

Physician Assistant (License #12489 in MN)

✅

NPI Profile Active October 15, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location October 15, 2015

Registered at 33 W TAMARISK ST, PHOENIX, AZ 850412422 (Tel: 6023446400)

📍

Updated Business Mailing Address October 15, 2015

Registered at 2929 E THOMAS RD, PHOENIX, AZ 850168034 (Tel: 6024705043)

👤

Provider Name / Credentials Updated October 15, 2015

Recorded as JENNIFER POETHKE

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2015

Physician Assistant (License #6230 in AZ)

🟢

Initial NPI Registration & Enumeration October 15, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Jennifer Idiculla. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1841661824

Entity Type:

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

Enumeration Date: October 15, 2015

Last Update: January 12, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2925 Chicago Ave

Minneapolis, MN 554071321

Phone: 6122629000

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.