Doctor profile · Federal record
Dr. Samuel Jolley, PA-C
Physician Assistant · Woodbury, MN
- NPI 1336798222
- Accepts Medicare
- 7 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
6025 Lake RD Ste 200
Woodbury, MN 551251710
(651) 999-6800 - Mailing address
-
3001 Metro Dr Ste 460
Bloomington, MN 554251548
Credentials & registration
- NPI registered
- September 2019 — 7 yrs on file
- Profile last updated
- August 20, 2025
- Year of graduation
- 2019 — 7 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Minnesota #15239
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1336798222. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$74
Transactions
3
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Asensus Surgical, INC. | 1 | $31.48 | |
| Stryker Corporation | 1 | $26.77 | |
| Solventum Corporation | 1 | $16.05 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Samuel Jolley's medical specialty?
Dr. Samuel Jolley practices Physician Assistant in Woodbury, MN.
Where does Dr. Samuel Jolley practice?
Dr. Samuel Jolley practices at 6025 Lake RD Ste 200, Woodbury, MN 551251710. Office phone: 6519996800.
What is Dr. Samuel Jolley's NPI?
Dr. Samuel Jolley's National Provider Identifier (NPI) is 1336798222, issued by NPPES.
Does Dr. Samuel Jolley accept Medicare assignment?
Yes. Dr. Samuel Jolley accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.