NATHAN LEROY JONES – Physician Assistant, NPI 1609583087

NATHAN LEROY JONES is a healthcare provider. based in New brighton, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold a License No. 14375 (MN). The NPI Number for NATHAN LEROY JONES is 1609583087

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
NATHAN LEROY JONES
NPI
1609583087
Phone
(612) 213-2370
Address
900 LONG LAKE RD STE 150
Enumeration Date
3 November 2022
Last Update Date
29 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6122132370
Graduation Year
2022 (4 years ago)
PAC ID
0244605368
Group Practice PAC ID
7911157946
Professional Enrollment ID
I20230403002284
Address ID
MN553131930BU1700XNXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

4,031 PHYSICIAN ASSISTANT in MN

Provider Addresses for NATHAN LEROY JONES

  • 900 LONG LAKE RD STE 150

    NEW BRIGHTON, MN 551126414

    Phone: (612) 213-2370

    Fax: (612) 524-5571

    Mailing address matches the actual address.

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: 2023-04-03

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
I20230403002284IPhysician 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
17003Destruction of precancer skin growth, 2-14 growths28346$0
99213Established patient office or other outpatient visit, 20-29 minutes7759$0
17000Destruction of precancer skin growth, 1 growth7558$0
11102Biopsy of related skin growth, first growth7472$0
99203New patient office or other outpatient visit, 30-44 minutes6868$0
View full utilization report →

Insurance plans in this area (ZIP 55112)

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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: 7911157946View full group profile
NameSpecialtyState
Physician AssistantMN
-MN
Physician AssistantMN
Physician AssistantAZ
Physician AssistantMN
Dermatology, Internal Medicine, Micrographic Dermatologic Surgery (Mds)MN
Physician AssistantMN

Reviews

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Frequently asked questions

How do I look up NATHAN LEROY JONES by NPI?
Use NPI 1609583087 when you need to reference NATHAN LEROY JONES in forms, claims, or directories.
Is NATHAN LEROY JONES currently active in the NPI registry?
CMS-published data lists NATHAN LEROY JONES as an active registrant.
Does NATHAN LEROY JONES list a primary specialty?
If you are matching referrals, note Physician Assistant for NATHAN LEROY JONES. Clinical services aligned with this taxonomy classification.
What location shows for NATHAN LEROY JONES?
We surface New Brighton, Minnesota for NATHAN LEROY JONES based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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