Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mr. Jesse L Goembel, PA-C
Physician Assistant in Fridley, MN · enumerated 2007.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1356486963
See something wrong? Report a correction
Registry record
Entity type Individual (Type 1)
Name Mr. Jesse L Goembel
Credential PA-C
Sex Male
Practice address 550 Osborne Rd Ne, Fridley, MN, 55432
Phone (763) 236-5000
Fax (763) 236-3516
Enumeration date Feb 21, 2007
Last updated in NPPES Nov 10, 2020
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 0643 (SD) Primary
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1238 | Other | MN | MN TEMPORARY LICENSE |
| 6829150 | Medicaid | SD | - |
| 0643 | Other | SD | STATE LICENSE |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Where does Jesse Goembel practice?
The practice location on file with NPPES is in Fridley, MN. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Jesse Goembel?
The National Provider Identifier (NPI) for Jesse Goembel is 1356486963, a Type 1 (individual) record in the CMS NPPES registry.
Other providers at this practice address
Browse all → Jeffrey Herman Radiation Oncology Physician · Fridley, MN NPI 1689666497 Sarah Griffin Genetic Counselor (M.S.) · Fridley, MN NPI 1376532242 Steven Hagen Emergency Medicine Physician · Fridley, MN NPI 1780651901 Ian Moorhead Emergency Medicine Physician · Fridley, MN NPI 1912974148 Renee Koronkowski Psychiatry Physician · Fridley, MN NPI 1477522027 Kurt Belk Emergency Medicine Physician · Fridley, MN NPI 1407815566 Peter Currie Emergency Medicine Physician · Fridley, MN NPI 1942269006 William Keig Emergency Medicine Physician · Fridley, MN NPI 1598724643
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-11-10.