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

Individual provider Physician Assistant · NPI 1053066399

Jordan Lillian Anderson, PA-C is a Physician Assistant in Maple Grove, Minnesota. Qualified in 2022, 4 years ago. Practices with Minnesota Oncology Hematology PA, a 132-clinician group and accepts Medicare assignment. Licensed in Minnesota and Texas.

Years since qualifying
4
Licensed in
MN, TX
In the registry since
2022
Specialties on file
2
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

10150 Niagara Ln N # 100
Maple Grove, MN 55369-7588
Phone: (224) 213-5886
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 14483 (MN)
Physician Assistant Taxonomy 363A00000X · Licence PA15644 (TX)

Record details

NPI number1053066399
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 15, 2022
Last updated in NPPESJune 21, 2023
Certification dateJune 21, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Minnesota Oncology Hematology Pa — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
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 patients89
Services billed 892 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

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.

Colleagues at Minnesota Oncology Hematology PA

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 132 clinicians in the practice; 12 are shown here.

Other providers in Maple Grove