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WYNONAH FILLA PA-C
NPI 1013785948
Physician Assistant in Mora, MN

Active since December 20, 2023PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wynonah Filla Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WYNONAH FILLA PA-C (NPI 1013785948) is an individual physician assistant in Mora, Minnesota, licensed in North Carolina (0010-15721) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS, is affiliated with Essentia Health St Marys - Detroit Lakes, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1013785948
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameWYNONAH FILLACredential: PA-C
Location Address301 MN-65Mora, MN 55051
Mailing Address3377 Maureen LnStillwater, MN 55082-6797
Phone(320) 679-1212
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 20, 2023
Last NPPES UpdateOctober 31, 2025
NPPES CertifiedOctober 31, 2025
✔ NPI 1013785948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in NC · 0010-15721✔ Licensed in MN · 14806
Definition
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.
301 MN-65, Mora, MN 55051
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1701 Dellwood St SCambridge, MN 55008-1920 · Phone (763) 688-8700 · Fax (763) 688-7921
Location 2900 Hilligoss Blvd SEFosston, MN 56542-1542 · Phone (218) 435-1212

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Wynonah Filla Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769820554
PECOS Enrollment IDI20240328003359, I20260207000181, I20260228000102
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Essentia Health St Marys - Detroit Lakes

Acute Care Hospitals · Detroit Lakes, MN
OwnershipVoluntary non-profit - Church
CMS Certification Number240101
Location1027 Washington AveDetroit Lakes, MN 56501 · Becker County
Birthing friendly

Riverwood Healthcare Center

Critical Access Hospitals · Aitkin, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241305
Location200 Bunker Hill DriveAitkin, MN 56431 · Aitkin County
Emergency services

Essentia Health Fosston

Critical Access Hospitals · Fosston, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241357
Location900 Hilligoss Boulevard SEFosston, MN 56542 · Polk County
Emergency services

Wilson Medical Center

Acute Care Hospitals · Wilson, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340126
Location1705 S Tarboro StWilson, NC 27893 · Wilson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55051 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUCAS KOSOBUSKI PHARMD
Pharmacist
301 MN-65
MORA, MN 55051
Kanabec County (320) 679-1212
AUSTIN MICHAEL PETERSON OD
Optometrist
301 MN-65
MORA, MN 55051
Kanabec County (320) 679-2020
ANNA INSLEY PHARM.D. , RPH
Pharmacist
301 MN-65, INPATIENT PHARMACY
MORA, MN 55051
Kanabec County (320) 225-3597

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wynonah Filla's NPI number?

The NPI number for Wynonah Filla is 1013785948. It was assigned to this individual provider in the NPPES registry on December 20, 2023.

Where is Wynonah Filla located?

Wynonah Filla practices at 301 Mn-65, Mora, MN 55051. The listed phone number is (320) 679-1212.

What is Wynonah Filla's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Wynonah Filla enrolled in Medicare?

Yes. Wynonah Filla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Wynonah Filla affiliated with any hospitals?

According to CMS data, Wynonah Filla is affiliated with Essentia Health St Marys - Detroit Lakes, Riverwood Healthcare Center, Essentia Health Fosston and Wilson Medical Center.

When was this NPI record last updated?

The NPPES record for Wynonah Filla was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.