Jennifer A. Prom, PAC
Physician Assistant · Duluth, MN
Jennifer A. Prom, PAC is a physician assistant with a practice address in Duluth, Minnesota, and NPI 1215948781, issued on Aug 10, 2006. Check the license (Minnesota 10142, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jennifer A. Prom
- Credential
- PAC
- Primary taxonomy
- Physician Assistant 363A00000X
- License numbers
- 10142 MN
4215 WI
Self-reported in NPPES; status is on the state search - Practice location
- 619 W Central Entrance, Duluth, MN 55811
- Phone
- (218) 249-4987
- Enumerated
- Aug 10, 2006
- Record last updated
- Dec 16, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (218) 249-4989
- Medicaid ID
- 157938000 MN
- Medicare enrollment
- Enrolled (PECOS I20060503000634); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 4,007 in Minnesota → Look up another NPI →
Also registered at 619 W Central Entrance
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Camille InglePhysician Assistant1205227758
- Amanda Leone, CNPFamily Nurse Practitioner1235771726
- Karen Lilyquist, CNPFamily Nurse Practitioner1043624414
- Lori Lindgren, CFNPFamily Nurse Practitioner1508939042
Verify Jennifer A. Prom in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license 10142Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
67% fewer Medicare Part D claims than the average physician assistant in 2024
272 Medicare Part D claims for 194 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D.
Most prescribed
- Doxycycline Hyclate37 claims
- Prednisone30 claims
- Nitrofurantoin Mono-Macro21 claims
- Amoxicillin-Clavulanate Potass14 claims
- Azithromycin14 claims
- Amoxicillin11 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Bills Medicare through one group practice
- St. Luke's Hospital OF DuluthDuluth, MN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jennifer A. Prom among 4,007 physician assistant records in Minnesota
Jennifer A. Prom, PAC is one of 4,007 physician assistant records with a practice address in Minnesota. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 3% of them.
- NPI issued2006 · 3% of these records are older, 81% newer
- In a Medicare fileYes · 85% of these records are
- In the CMS Doctors and Clinicians fileYes · 78% of these records are
- Graduated2005 · median 2017 among the 3,131 with a school on file
- Record last updated2020 · 40% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
179 physician assistant records list a practice address in Duluth
They are 179 of the 4,084 NPPES records with a practice address in Duluth, and 4,007 physician assistant records in Minnesota.
All 4,007 in Minnesota → Every provider in Duluth → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Lauren BoninDuluth, MN 558111144078551
- Madeline CarlsonDuluth, MN 558111629700968
- Leiah HoffmanHermantown, MN 558111043811870
- Camille IngleDuluth, MN 558111205227758
- Karen Jones, PA-CDuluth, MN 558111679220214
- Hannah Kunkel, PA-SDuluth, MN 558111881326122
- Maggie McNeill, PA-CHermantown, MN 558111053931451
- Mara Olinger, PA-CHermantown, MN 558111063016855
Common questions
What is Jennifer A. Prom, PAC's NPI number?
Jennifer A. Prom, PAC's National Provider Identifier (NPI) is 1215948781, issued on Aug 10, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Jennifer A. Prom, PAC located?
The NPPES record lists a practice address at 619 W Central Entrance, Duluth, MN, 55811. Phone: (218) 249-4987. Providers update this record themselves, so call before visiting.
How can I verify Jennifer A. Prom, PAC's license?
NPPES lists Minnesota license number 10142, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
How much does Jennifer A. Prom, PAC prescribe under Medicare Part D?
In 2024, Jennifer A. Prom, PAC had 272 Medicare Part D claims for 194 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.