Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Poethke Idiculla, PA-C

Individual provider Physician Assistant · NPI 1841661824

Jennifer Poethke Idiculla, PA-C is a Physician Assistant in Saint Michael, Minnesota. Qualified in 2015, 11 years ago. Practices with Allina Health System, a 3,867-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
11
Licensed in
MN
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4300 Edgewood Dr NE
Saint Michael, MN 55376-4588
Phone: (763) 744-4000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1289 (MN)

Record details

NPI number1841661824
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 15, 2015
Last updated in NPPESJanuary 12, 2023
Certification dateJanuary 12, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients71
Services billed 651 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • Abbott Northwestern Hospital Hospital · Minneapolis, MN
  • Buffalo Hospital Hospital · Buffalo, MN
  • Mercy Hospital Hospital · Coon Rapids, MN

Colleagues at Allina Health System

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 3867 clinicians in the practice; 12 are shown here.

Other providers in Saint Michael