CARLY JO HENNEK PA-C
NPI 1023824406
Physician Assistant in Roseville, MN
NPI Status: Active since December 10, 2024
Contact Information
2720 FAIRVIEW AVE N STE 200
ROSEVILLE, MN
ZIP 55113
Phone: (651) 633-6883
Fax: (651) 331-3459
- Individual
- Female
- Physician Assistant
About CARLY HENNEK
This page provides the complete NPI Profile along with additional information for Carly Hennek, a primary care provider established in Roseville, Minnesota with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1023824406 assigned on December 2024. The practitioner's primary taxonomy code is 363A00000X with license number 15246 (MN). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1023824406
- Provider Name
- CARLY JO HENNEK PA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2720 FAIRVIEW AVE N STE 200 ROSEVILLE, MN 55113
- Location Phone
- (651) 633-6883
- Location Fax
- (651) 331-3459
- Mailing Address
- 2720 FAIRVIEW AVE N STE 200 ROSEVILLE, MN 55113
- Mailing Phone
- (651) 633-6883
- Mailing Fax
- (651) 331-3459
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-10-2024
- Last Update Date
- 02-10-2025
- Code Navigator
A primary care provider (PCP) like Carly Hennek sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 15246
- License State
- MN
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 2 | 3 | 8 | 2 | 4 | 4 | 0 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 4 | 3 | 16 | 2 | 8 | 4 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 4 + 3 + 1 + 6 + 2 + 8 + 4 + 0 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1023824406 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1063782621 | TAREEN DERMATOLOGY, P.A. Organization | Dermatology | 2720 FAIRVIEW AVE N STE 200 ROSEVILLE, MN 55113 (651) 633-6883 |
| 1871128900 | AIMEE SKREI Individual | Pharmacist | 2720 FAIRVIEW AVE N STE 200 ROSEVILLE, MN 55113 (651) 633-6883 |
| 1124648795 | KELSEY KATHLEEN STRUB Individual | Physician Assistant | 2720 FAIRVIEW AVE N STE 200 ROSEVILLE, MN 55113 (952) 452-6503 |
| 1760983712 | HALEY ROGERS PA-C Individual | Physician Assistant | 2720 FAIRVIEW AVE N STE 200 ROSEVILLE, MN 55113 (612) 360-1332 |
| 1619625639 | ERIN JOY DE LA BRUERE PA Individual | Physician Assistant | 2720 FAIRVIEW AVE N STE 200 ROSEVILLE, MN 55113 (651) 663-6883 |
| 1215557467 | ASHLEY DAVIS Individual | Physician Assistant | 2720 FAIRVIEW AVE N STE 200 ROSEVILLE, MN 55113 (651) 633-6883 |
| 1912391145 | DR. NICOLE MARIE THERRIEN M.D. Individual | Pathology (Dermatopathology) | 2720 FAIRVIEW AVE N STE 200 ROSEVILLE, MN 55113 (651) 633-6883 |
| 1194430157 | KATHRYN MADDUX Individual | Physician Assistant | 2720 FAIRVIEW AVE N STE 200 ROSEVILLE, MN 55113 (651) 633-6883 |
| 1619722329 | CHRISTINE PHAN JERABEK PA Individual | Physician Assistant | 2720 FAIRVIEW AVE N STE 200 ROSEVILLE, MN 55113 (651) 633-6883 |
| 1992345110 | HANNAH KRISTINE PETTERSON PA-C Individual | Physician Assistant | 2720 FAIRVIEW AVE N STE 200 ROSEVILLE, MN 55113 (651) 633-6883 |
| 1902300833 | JASMINE S SALEH MD Individual | Pathology (Dermatopathology) | 2720 FAIRVIEW AVE N STE 200 ROSEVILLE, MN 55113 (651) 633-6883 |
| 1437716057 | MADEEHA DRISSI MD Individual | Dermatology | 2720 FAIRVIEW AVE N STE 200 ROSEVILLE, MN 55113 (651) 633-6883 |
| 1710660311 | MEGAN OLSON PA-C Individual | Physician Assistant | 2720 FAIRVIEW AVE N STE 200 ROSEVILLE, MN 55113 (651) 633-6883 |
| 1457783375 | DR. KERRY LYNN ANDERSON PHARMD, RPH Individual | Pharmacist | 2720 FAIRVIEW AVE N STE 200 ROSEVILLE, MN 55113 (651) 633-6883 |
| 1093191777 | AUSTIN JAMES HENEMAN PA-C Individual | Physician Assistant | 2720 FAIRVIEW AVE N STE 200 ROSEVILLE, MN 55113 (651) 633-6883 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023824406, enumerated in the NPI registry as an "individual" on December 10, 2024
The provider is located at 2720 Fairview Ave N Ste 200 Roseville, Mn 55113 and the phone number is (651) 633-6883
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
This NPI record was last updated on December 10, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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