JENNIFER RUHLAND (PA-C) – Physician Assistant, NPI 1942668637

JENNIFER RUHLAND (PA-C) is a healthcare provider. based in Champlin, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 12100 (MN). The NPI Number for JENNIFER RUHLAND (PA-C) is 1942668637

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER RUHLAND (PA-C)
NPI
1942668637
Phone
(866) 389-2727
Address
11990 BUSINESS PARK BLVD N
Enumeration Date
9 February 2016
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7632318700
Graduation Year
2015 (11 years ago)
PAC ID
4587953294
Group Practice PAC ID
8628353380
Professional Enrollment ID
I20160823001394
Address ID
MN553376735BU625XXBLVD402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

4,032 PHYSICIAN ASSISTANT in MN

Provider Addresses for JENNIFER RUHLAND (PA-C)

  • 11990 BUSINESS PARK BLVD N

    CHAMPLIN, MN 553162005

    Phone: (866) 389-2727

    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)

CMS reports 17 Open Payments records for all available years, with a total value of $295.

Total Amount is formed as General ($295) + Research ($0) + Ownership ($0) = $295.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Lilly USA, LLC ($53).

Total Amount

$295

General + Research + Ownership

Payments

17

Total payment records

General Amount

$295

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2016-08-23

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
I20160823001394IPhysician 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
99213Established patient office or other outpatient visit, 20-29 minutes2625$0
17110Destruction of skin growth, 1-14 growths1613$0
17000Destruction of precancer skin growth, 1 growth1312$0
99203New patient office or other outpatient visit, 30-44 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 55316)

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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: 8628353380View full group profile
NameSpecialtyState
-MI
D E R M A T O L O G YTX
Dermatology, Dermatology, PathologyVA
Physician AssistantMN
Nurse PractitionerMI
D E R M A T O L O G YAZ
Physician AssistantMN
Physician AssistantIN
-IN
Physician AssistantIL

Reviews

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Frequently asked questions

Is there an official ID for JENNIFER RUHLAND (PA-C) in U.S. healthcare records?
The official identifier for JENNIFER RUHLAND (PA-C) is NPI 1942668637.
Is JENNIFER RUHLAND (PA-C) still an active registrant?
JENNIFER RUHLAND (PA-C) carries an active NPI according to the public dataset.
What kind of doctor is JENNIFER RUHLAND (PA-C)?
JENNIFER RUHLAND (PA-C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is JENNIFER RUHLAND (PA-C) located near Champlin?
JENNIFER RUHLAND (PA-C) currently maps to Champlin, Minnesota in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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