Jordan Lillian Anderson, PA-C
NPI 1053066399ActiveIndividual· Physician Assistant, Surgical· Maple Grove, MN
Physician Assistant, Surgical (PA-C) with Minnesota Oncology Hematology PA, practicing in Maple Grove, Minnesota. 89 Medicare patients in 2024, $31,686 paid; nearly all of their 253 Part D prescriptions were generic (92%). Lists Abbott Northwestern Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1053066399 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Feb 15, 2022 |
| Last updated in NPPES | Jun 21, 2023 |
| Certified by provider | Jun 21, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 14483 | MN |
| Physician Assistant | 363A00000X | PA15644 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 89 |
|---|---|
| Services billed | 892 across 50 procedure codes |
| Paid by Medicare | $31,686 |
Part D prescriptions in 2024
| Prescriptions (claims) | 253 · 261 30-day fills |
|---|---|
| Patients | 130 |
| Total drug cost | $16,077 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Minnesota Oncology Hematology PAMinneapolis, MN · 134 clinicians
Hospital affiliations
- Abbott Northwestern HospitalMinneapolis, MN
- Mercy HospitalCoon Rapids, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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