JODY SHERMAN (PA-C) – Physician Assistant, NPI 1114930096
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,031 PHYSICIAN ASSISTANT in MN
Provider Addresses for JODY SHERMAN (PA-C)
640 JACKSON ST # MS 11102F
SAINT PAUL, MN 551012502
Phone: (651) 254-3456
Type: Location
405 Stageline Rd
Hudson, WI 540167848
Phone: (715) 531-6000
Type: Location
927 Churchill St W
Stillwater, MN 550826605
Phone: (651) 439-5330
Type: Location
800 E 28TH ST # MR 11112
MR 11112
MINNEAPOLIS, MN 554073723
Phone: (612) 863-6590
Type: Mailing
4300 MARKET PTE DR STE 100
BLOOMINGTON, MN 554355435
Phone: (952) 767-4574
Type: Location
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: 2010-08-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100824000385 | I | Physician Assistant | MN | TBD |
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.
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 |
|---|---|---|---|---|
| 99283 | Emergency department visit with low level of medical decision making | 45 | 45 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 31 | 31 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 14 | 13 | $0 |
Insurance plans in this area (ZIP 55101)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Physician Assistant | MN | |
| - | WA | |
| Emergency Medicine | MN | |
| - | MN | |
| Physician Assistant | IA | |
| Emergency Medicine | MN | |
| - | MN | |
| Physician Assistant | MN | |
| Emergency Medicine, Internal Medicine | MN |
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