JENNIFER LYNN SMITH (PAC) – Physician Assistant, NPI 1639163249

Physician Assistant

JENNIFER LYNN SMITH (PAC) is a healthcare provider. based in Burnsville, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. 9952 (MN). The NPI Number for JENNIFER LYNN SMITH (PAC) is 1639163249

Main info

Female

22 Years Of Experience

Accepts Medicare Assignment

Name

JENNIFER LYNN SMITH (PAC)

NPI

1639163249

Phone

(866) 389-2727

Address

810 COUNTY ROAD 42 W

Enumeration Date

9 September 2005

Last Update Date

23 April 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8663892727

Graduation Year

2004 (22 years ago)

PAC ID

2860433869

Group Practice PAC ID

7810289949

Professional Enrollment ID

I20050519000948

Address ID

MN554494670BL1500XNEXX400

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience68

Completeness75

Years active:20State licenses:2Digital endpointsOther names

4,031 PHYSICIAN ASSISTANT in MN

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Provider Addresses for JENNIFER LYNN SMITH (PAC)

Target, 810, County Road 42 West, Burnsville, Dakota County, Minnesota, 55306, United States
BURNSVILLE, MN 553374426
Phone: (866) 389-2727
Type: Mailing
6445 RICHFIELD PKWY
RICHFIELD, MN 554236400
Phone: (866) 389-2727
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: 2005-05-19

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

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
I20050519000948	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.

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

HCPCS	Description	Services	Beneficiaries	Medicare allowed
99203	New patient office or other outpatient visit, 30-44 minutes	15	15	$0

View full utilization report →

Insurance plans in this area (ZIP 55337)

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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: 7810289949View full group profile

Name	Specialty	State
DIANE ELIZABETH HELLER	-	MN
MS. KRISTEN D BALLENTHIN (PA-C)	Physician Assistant	MN
BROOKE SCHROEPFER	Physician Assistant	MN
AMANDA JOANNE SCHMIDT (PA-C)	Physician Assistant	MN
RHONDA MARIE WOLFE (MSN)	-	MN
CRYSTAL ADODO ORAMADIKE (FNP)	Nurse Practitioner	PA
RYAN MCCAULEY RIVARD	Physician Assistant	MN
CHRISTY BERRYHILL (FNP)	-	MN
LORA MEADOWS	Nurse Practitioner	MN
KRISTIE J ANDERSON (FNP)	-	MN

Reviews

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Frequently asked questions

What is the registry number for JENNIFER LYNN SMITH (PAC)?

The registry entry for JENNIFER LYNN SMITH (PAC) shows NPI 1639163249.

Should I treat JENNIFER LYNN SMITH (PAC) as an active provider?

Patients and plans typically see JENNIFER LYNN SMITH (PAC) as active in the national extract.

What does the directory say JENNIFER LYNN SMITH (PAC) does?

Insurance directories may phrase it differently, but here JENNIFER LYNN SMITH (PAC) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.

Can patients visit JENNIFER LYNN SMITH (PAC) in Burnsville, Minnesota?

For routing, start with Burnsville, Minnesota for JENNIFER LYNN SMITH (PAC), then verify phone and hours locally.

What is the difference between NPI and a medical license?

An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.