HAILEY GRACE THOM
NPI 1487400347
Physician Assistant in Minneapolis, MN

Q: What is Hailey Thom's NPI number?

The NPI number for Hailey Thom is 1487400347. It was assigned to this individual provider in the NPPES registry on April 30, 2024.

Q: What is Hailey Thom's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Hailey Thom was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 30, 2024PECOS EnrolledAccepts Medicare Assignment

800 E 28TH ST STE 401, MINNEAPOLIS, MN 55407(612) 863-0200(612) 863-0235 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 13, 2026, Apr 30, 2024 (2 updates tracked since 2024).

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About Hailey Grace Thom NPPES

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

HAILEY GRACE THOM (NPI 1487400347) is an individual physician assistant in Minneapolis, Minnesota, licensed in Minnesota (15539) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and maintains a secondary practice location in Arden Hills.

NPPES Registry Identity

NPI1487400347

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameHAILEY GRACE THOM

Location Address800 E 28TH ST STE 401Minneapolis, MN 55407-3723

Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000

Phone(612) 863-0200

Fax(612) 863-0235

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateApril 30, 2024

Last NPPES UpdateJanuary 13, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 13, 2026

✔ NPI 1487400347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MN · 15539

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.

800 E 28TH ST STE 401, Minneapolis, MN 55407

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Secondary Practice Location 1

Location 12 Pine Tree DrArden Hills, MN 55112-3754 · Phone (651) 635-8000

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

Hailey Grace Thom 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 ID1951890565

PECOS Enrollment IDI20251031004124

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

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

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240057

Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55407 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 20

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

MS. DOMINIKA DULAK M.D.

Internal Medicine (Hematology & Oncology)