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VASCULAR SURGERY ASSOCIATES PA
NPI 1083894836
Surgery - Vascular Surgery in Blaine, MN

Active since November 09, 2007
11855 ULYSSES ST NE STE 220, BLAINE, MN 55434(763) 427-8547(763) 576-5394 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 7, 2022, Feb 22, 2022 (2 updates tracked since 2022).

About Vascular Surgery Associates Pa NPPES

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

VASCULAR SURGERY ASSOCIATES PA (NPI 1083894836) is a healthcare organization registered as a vascular surgery in Blaine, Minnesota and active in the NPI registry since November 2007. The organization lists Craig Stuart Walvatne, Physician, as its authorized official.

NPPES Registry Identity

NPI1083894836
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameVASCULAR SURGERY ASSOCIATES PA
Location Address11855 ULYSSES ST NE STE 220Blaine, MN 55434-4181
Mailing Address11855 Ulysses St Ne Ste 220Blaine, MN 55434-4181 · (763) 427-8547 · Fax (763) 576-5394
Phone(763) 427-8547
Fax(763) 576-5394
Organization SubpartNo
Authorized OfficialCraig Stuart WalvatnePhysician · (763) 427-8547
Enumeration DateNovember 9, 2007
Last NPPES UpdateJuly 29, 20252 updates tracked since enumeration
NPPES CertifiedJuly 29, 2025
✔ NPI 1083894836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in MN · 31967
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
11855 ULYSSES ST NE STE 220, Blaine, MN 55434
Open in Google Maps ↗

Other Identifiers 1

Medicaid1778251MN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vascular Surgery Associates Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Vascular Surgery Associates PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Craig Walvatne, M.D.
Vascular Surgery
NPI 1972515427
11855 ULYSSES ST NE 220
Blaine, MN 55434
(763) 427-8547
✔ PECOS✔ Accepts MedicareSame address
Stephanie Walvatne, N.P.
Nurse Practitioner
NPI 1689074155
3887 COON RAPIDS BLVD NW
Coon Rapids, MN 55433
(763) 427-8547
✔ PECOS✔ Accepts Medicare6.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Vascular Surgery Associates PA's NPI number?

The NPI number for Vascular Surgery Associates PA is 1083894836. It was assigned to this organization in the NPPES registry on November 9, 2007.

Where is Vascular Surgery Associates PA located?

Vascular Surgery Associates PA is located at 11855 Ulysses St NE Ste 220, Blaine, MN 55434. The listed phone number is (763) 427-8547.

What is Vascular Surgery Associates PA's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Vascular Surgery Associates PA enrolled in Medicare?

Yes. Vascular Surgery Associates PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vascular Surgery Associates PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Vascular Surgery Associates PA, in Nurse Practitioner and Vascular Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Vascular Surgery Associates PA accept?

Health plans from HealthPartners list Vascular Surgery Associates PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vascular Surgery Associates PA was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.