JESSICA POWERS (PA-C) – Physician Assistant, NPI 1114377231

JESSICA POWERS (PA-C) is a healthcare provider. based in Duluth, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 12124 (MN). The NPI Number for JESSICA POWERS (PA-C) is 1114377231

Main info

Female
11 Years Of Experience
Name
JESSICA POWERS (PA-C)
NPI
1114377231
Phone
(218) 786-8364
Address
420 E 1st St
Enumeration Date
20 June 2016
Last Update Date
30 July 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2188791227
Graduation Year
2015 (11 years ago)
PAC ID
6002100773
Group Practice PAC ID
6608775879
Professional Enrollment ID
I20160803003256
Address ID
MN557201345CL927XXLNXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

4,031 PHYSICIAN ASSISTANT in MN

Provider Addresses for JESSICA POWERS (PA-C)

  • 420 E 1st St

    Duluth, MN 558051901

    Phone: (218) 786-8364

    Type: Location

  • Min No Aya Win Human Services Center, 927, Trettel Lane, Cloquet, Carlton County, Minnesota, 55720, United States

    CLOQUET, MN 557201345

    Phone: (218) 879-1227

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-08-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160803003256IPhysician AssistantMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes5543$0
99213Established patient office or other outpatient visit, 20-29 minutes3226$0
36415Insertion of needle into vein for collection of blood sample3024$0
99215Established patient office or other outpatient visit, 40-54 minutes2523$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count1716$0
View full utilization report →

Insurance plans in this area (ZIP 55805)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608775879View full group profile
NameSpecialtyState
Family PracticeMN
Mental Health CounselorMN
Clinical Social WorkerMN
-MN
Registered Dietitian Or Nutrition ProfessionalMN
Nurse PractitionerMN
-MN
Family PracticeOR
O P T O M E T R YMN
Physical Therapist In Private PracticeMN

Reviews

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Frequently asked questions

How do payers reference JESSICA POWERS (PA-C)?
For JESSICA POWERS (PA-C), use NPI 1114377231 as the unique 10-digit identifier.
Active or inactive — what applies to JESSICA POWERS (PA-C)?
You should see JESSICA POWERS (PA-C) as active in CMS-hosted NPPES data.
What clinical focus is listed for JESSICA POWERS (PA-C)?
At a glance, JESSICA POWERS (PA-C) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Minnesota is JESSICA POWERS (PA-C) registered?
Use Duluth, Minnesota as the headline location for JESSICA POWERS (PA-C) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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