JILLIAN JOHANNES (PA-C) – Physician Assistant, NPI 1083023733
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
4,031 PHYSICIAN ASSISTANT in MN
Provider Addresses for JILLIAN JOHANNES (PA-C)
2925 CHICAGO AVE
MINNEAPOLIS, MN 554071321
Phone: (612) 262-9000
Type: Mailing
14655 GALAXIE AVE
APPLE VALLEY, MN 551248602
Phone: (651) 241-3779
Type: Location
407 E 3RD ST
DULUTH, MN 558051950
Phone: (218) 786-4000
Type: Mailing
927 Churchill St W
Stillwater, MN 550826605
Phone: (651) 439-5330
Type: Location
407 E 3rd St
Duluth, MN 558051950
Phone: (218) 786-4000
Type: Location
405 Stageline Rd
Hudson, WI 540167848
Phone: (715) 531-6000
Type: Location
640 Jackson St
Saint Paul, MN 551012502
Phone: (651) 254-3456
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $59.
Total Amount is formed as General ($59) + Research ($0) + Ownership ($0) = $59.
Last reported payment date: 2023-11-16 • Largest payer in this snapshot: Saluda Medical Americas, Inc. ($59).
Total Amount
$59
General + Research + Ownership
Payments
1
Total payment records
General Amount
$59
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Saluda Medical Americas, Inc. | $59 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-09-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (982 days ago).
Enrollment records
1
Earliest due date
2023-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140929002442 | I | Physician Assistant | MN | 2023-09-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 31 | 31 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 27 | 23 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 21 | 20 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 11 | 11 | $0 |
Insurance plans in this area (ZIP 55407)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | CO | |
| Qualified Audiologist | MN | |
| Family Practice | MN | |
| - | MN | |
| Family Practice | MN | |
| Nurse Practitioner | ND | |
| - | MN | |
| - | MN | |
| - | MN | |
| - | MN |
Reviews
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