Jaclyn C. Hawes, PA-C
NPI 1558707455ActiveIndividual· Physician Assistant· Maple Grove, MN
Physician Assistant (PA-C) with Park Nicollet Clinic, practicing in Maple Grove, Minnesota. Their prescriptions cost Medicare Part D more than their services did: $150,040 for 2,263 claims, against $17,484 paid for services in 2024. Lists Park Nicollet Methodist Hospital as a hospital affiliation.
Overview
| NPI | 1558707455 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | May 17, 2013 |
| Last updated in NPPES | Mar 8, 2021 |
| Certified by provider | Mar 8, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 11341 | MN |
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 | 58 |
|---|---|
| Services billed | 414 across 45 procedure codes |
| Paid by Medicare | $17,484 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,263 · 6,023 30-day fills |
|---|---|
| Patients | 190 |
| Total drug cost | $150,040 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| 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 assistants in Maple Grove
- 1073276259
- 1306522768
- 1336334192
- 1417503558
- 1437623568
- 1477818292
- 1487293338
- 1497185052
- 1629740998
- 1639707250
- 1689268740
- 1760040950
All 63 physician assistants in Maple Grove · All physician assistants in Minnesota