Thomas Jacob Butenhoff, MPAS, PA-C
NPI 1215781109ActiveIndividual· Physician Assistant· Burnsville, MN
Physician Assistant (MPAS, PA-C) with Park Nicollet Clinic, practicing in Burnsville, Minnesota. Enrolled in Medicare as practitioner - physician assistant. Lists Park Nicollet Methodist Hospital as a hospital affiliation.
Overview
| NPI | 1215781109 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MPAS, PA-C |
| Sole proprietor | No |
| NPI issued | Apr 16, 2024 |
| Last updated in NPPES | Feb 19, 2025 |
| Certified by provider | Feb 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 14787 | MN |
| Physician Assistant | 363A00000X | — | — |
| Physician Assistant, Medical | 363AM0700X | 14787 | 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) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Park Nicollet ClinicSt Louis Park, MN · 1,787 clinicians
Hospital affiliation
- Park Nicollet Methodist HospitalSaint Louis Park, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Burnsville
- 1447637434
- 1811225899
- 1326462607
- 1780440545
- 1629778642
- 1326458530
- 1013369669
- 1750320487
- 1134842115
- 1639251770
- 1821657065
- 1033887385