Jennifer E. Grundhofer, PA-C
NPI 1134194152ActiveIndividual· Physician Assistant· Shakopee, MN
Physician Assistant (PA-C) with Park Nicollet Clinic, practicing in Shakopee, Minnesota. Their prescriptions cost Medicare Part D more than their services did: $257,537 for 3,380 claims, against $23,947 paid for services in 2024. Lists Park Nicollet Methodist Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1134194152 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Feb 22, 2006 |
| Last updated in NPPES | Apr 16, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 10027 | MN |
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) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 98 |
|---|---|
| Services billed | 950 across 60 procedure codes |
| Paid by Medicare | $23,947 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,380 · 7,437 30-day fills |
|---|---|
| Patients | 253 |
| Total drug cost | $257,537 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Park Nicollet ClinicSt Louis Park, MN · 1,787 clinicians
Hospital affiliations
- Park Nicollet Methodist HospitalSaint Louis Park, MN
- St Francis Regional Medical CenterShakopee, MN
Other facilities
- Adara Home Health IncHome health agency · Buffalo, 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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