Jennifer Ann Stanek, MS, PAC
NPI 1063412112ActiveIndividual· Physician Assistant, Surgical· Oak Park Heights, MN
Physician Assistant, Surgical (MS, PAC) in Oak Park Heights, Minnesota, licensed in MN and WI, with an NPI issued in July 2005. Enrolled in Medicare as practitioner - physician assistant.
Overview
| NPI | 1063412112 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, PAC |
| Sole proprietor | No |
| NPI issued | Jul 29, 2005 |
| Last updated in NPPES | Jun 30, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 10090 | MN |
| Physician Assistant, Surgical | 363AS0400X | 1500-23 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (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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