Doctor profile · Federal record
Dr. Jaclyn Dewalt, PA-C
Physician Assistant · Apple Valley, MN
- NPI 1912194291
- Accepts Medicare
- 19 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
15350 English Ave
Apple Valley, MN 551246252
(952) 431-8500 - Mailing address
-
8170 33Rd Ave S, MS 21110Q
Bloomington, MN 554254516
Credentials & registration
- NPI registered
- October 2007 — 19 yrs on file
- Profile last updated
- October 14, 2024
- Year of graduation
- 2007 — 19 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Minnesota #10346
- Medicaid
- MN #475488000
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1912194291. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
423
Distinct HCPCS
10
Medicare allowed
$25,956
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
36415 |
Insertion of needle into vein for collection of blood sample | 117 | 60 | $8 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 90 | 73 | $76 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 63 | 63 | $107 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 60 | 50 | $107 | |
G0008 |
Administration of influenza virus vaccine | 25 | 25 | $30 | |
90694 |
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 19 | 19 | $24 | |
77067 |
Screening mammography | 15 | 15 | $111 | |
85027 |
Complete blood cell count (red cells, white blood cell, platelets), automated test | 12 | 12 | $6 | |
77063 |
Screening 3d breast mammography | 11 | 11 | $45 | |
G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 11 | 11 | $139 |
In context: peer comparison
Among 13 peers in this city , average services per provider: 37. This provider delivers 11× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
1,349
Patients
367
Total drug cost
$20,094
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 265 | 76 | $4,761 |
| Lisinopril | Generic | 145 | 42 | $1,328 |
| Amlodipine Besylate | Generic | 105 | 35 | $999 |
| Metoprolol Succinate | Generic | 99 | 29 | $2,117 |
| Simvastatin | Generic | 85 | 22 | $661 |
| Omeprazole | Generic | 83 | 21 | $1,183 |
| Losartan Potassium | Generic | 81 | 23 | $1,703 |
| Levothyroxine Sodium | Generic | 79 | 22 | $1,730 |
| Warfarin Sodium | Generic | 72 | 0 | $710 |
| Rosuvastatin Calcium | Generic | 68 | 23 | $1,299 |
Hospital affiliations
Frequently asked questions
What is Dr. Jaclyn Dewalt's medical specialty?
Dr. Jaclyn Dewalt practices Physician Assistant in Apple Valley, MN.
Where does Dr. Jaclyn Dewalt practice?
Dr. Jaclyn Dewalt practices at 15350 English Ave, Apple Valley, MN 551246252. Office phone: 9524318500.
What is Dr. Jaclyn Dewalt's NPI?
Dr. Jaclyn Dewalt's National Provider Identifier (NPI) is 1912194291, issued by NPPES.
Does Dr. Jaclyn Dewalt accept Medicare assignment?
Yes. Dr. Jaclyn Dewalt accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jaclyn Dewalt commonly perform?
Top Medicare-reported procedures in 2023: Insertion of needle into vein for collection of blood sample (HCPCS 36415); Established patient office or other outpatient visit (HCPCS 99213); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439). Source: CMS Medicare Physician & Other Practitioners file.