Samuel Jolley, PA-C
Physician Assistant · Woodbury, MN
Samuel Jolley, PA-C is a physician assistant with a practice address in Woodbury, Minnesota, and NPI 1336798222, issued on Sep 4, 2019. Check the license (Minnesota 15239, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Samuel Jolley
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 15239 MN
Self-reported in NPPES; status is on the state search - Practice location
- 6025 Lake RD Ste 200, Woodbury, MN 55125
- Phone
- (651) 999-6800
- Enumerated
- Sep 4, 2019
- Record last updated
- Aug 20, 2025
- Medicare enrollment
- Enrolled (PECOS I20250807000989); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 4,007 in Minnesota → Look up another NPI →
Also registered at 6025 Lake RD Ste 200
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Jill Freeman, APRN, CNPAdult Health Nurse Practitioner1639113384
Verify Samuel Jolley in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license 15239Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $74.30
3 payments; by number, the most common kind was food and beverage; the largest payer was Asensus Surgical, Inc. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Minnesota Urology, PAEagan, MN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Samuel Jolley among 4,007 physician assistant records in Minnesota
Samuel Jolley, PA-C 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 2019, is newer than 59% of them.
- NPI issued2019 · 59% of these records are older, 35% newer
- In a Medicare fileYes · 85% of these records are
- In the CMS Doctors and Clinicians fileYes · 78% of these records are
- Graduated2019 · median 2017 among the 3,131 with a school on file
- Record last updated2025 · 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).
99 physician assistant records list a practice address in Woodbury
They are 99 of the 2,504 NPPES records with a practice address in Woodbury, and 4,007 physician assistant records in Minnesota.
All 4,007 in Minnesota → Every provider in Woodbury → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Jodi Baumgartner, PA-CWoodbury, MN 551251689668303
- Kaitlin Buckner, P.A.Woodbury, MN 551251104852094
- Darrel Cotch, PAWoodbury, MN 551251164495016
- Christopher Duesman, PA-CWoodbury, MN 551251750379103
- Melanie Garms, PA-CWoodbury, MN 551251669433884
- Todd Holter, PACWoodbury, MN 551251396742896
- James Johanning, PA-CWoodbury, MN 551251952341091
- Christine Kelley, P.A.Woodbury, MN 551251578529889
Common questions
What is Samuel Jolley, PA-C's NPI number?
Samuel Jolley, PA-C's National Provider Identifier (NPI) is 1336798222, issued on Sep 4, 2019. An NPI identifies a provider in billing; it is not a license.
Where is Samuel Jolley, PA-C located?
The NPPES record lists a practice address at 6025 Lake RD Ste 200, Woodbury, MN, 55125. Phone: (651) 999-6800. Providers update this record themselves, so call before visiting.
How can I verify Samuel Jolley, PA-C's license?
NPPES lists Minnesota license number 15239, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity 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.