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Mara Ann Klipfel Jackson , PA-C, ATC

Physician Assistant β€’ Chaska, MN

Active NPI 1801242284 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

111 Hundertmark Rd Ste 220
Chaska, MN 553181197

Call 9524482050 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

111 Hundertmark Rd Ste 220

Chaska, MN 553181197

Telephone 9524482050
Organization at the Same NPPES Address or Phone
Allina Health System Facility NPI 1104122555

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Allina Health System. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2024

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

2 years (graduated 2024)

CMS Doctors and Clinicians data list 2024 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Mara Jackson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Mara Jackson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Chaska and Minnesota

9 active clinicians are listed under Physician Assistant with a practice address in Chaska, MN (4,007 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-01-14
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MN 15232

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Specialist/Technologist - Athletic Trainer

NUCC Taxonomy Code: 2255A2300X

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20250214002706

Enrollment State Jurisdiction

MN

PECOS Control ID

3173053493

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Allina Health System

440 Elm St E, Annandale, MN 553021109

Phone: 3206825225

Allina Health System

111 Hundertmark Rd, Chaska, MN 553181197

Phone: 9524282050

Allina Health System

775 Prairie Ctr Dr, Eden Prairie, MN 553447322

Phone: 6127756200

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

11 listed
Dr. Kerrie Allen , MD

Family Medicine

NPI 1225138134

Doctor of Medicine (M.D.)

Samantha Bendzick

Physician Assistant

NPI 1154777225
NPI 1982703948

Doctor of Medicine (M.D.)

Dr. Lucas Hammell , DO

Family Medicine

NPI 1528252764

Doctor of Osteopathic Medicine (D.O.)

NPI 1902907934

Doctor of Medicine (M.D.)

Dr. Barbara Houts , MD

Family Medicine

NPI 1144321233

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location January 27, 2025

Registered at 111 HUNDERTMARK RD STE 220, CHASKA, MN 553181197 (Tel: 9524482050)

πŸ“
Updated Business Mailing Address January 27, 2025

Registered at 111 HUNDERTMARK RD STE 220, CHASKA, MN 553181197 (Tel: 9524482050)

πŸ‘€
Provider Name / Credentials Updated January 27, 2025

Recorded as MARA JACKSON, PA-C, ATC

βœ…
NPI Profile Active May 04, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 04, 2016

Registered at 6844 GREENBRIAR CURV, SHAKOPEE, MN 553797058 (Tel: 9523039953)

πŸ“
Business Mailing Address (Initial Record) May 04, 2016

Registered at 6844 GREENBRIAR CURV, SHAKOPEE, MN 553797058 (Tel: 9523039953)

πŸ‘€
Provider Name / Credentials (Initial Record) May 04, 2016

Recorded as MARA KLIPFEL

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2016

Specialist/Technologist

🟒
Initial NPI Registration & Enumeration May 04, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1801242284
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 04, 2016
Last Update: January 27, 2025
Sole Proprietor: No

Other Physician Assistants in Chaska

Healthcare providers in Chaska

Mailing Address

111 Hundertmark Rd Ste 220

Chaska, MN 553181197

Phone: 9524482050

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.