1. Home
  2. Directory
  3. Minnesota
  4. Minnetonka
  5. Physician Assistant
  6. NPI Profile

KATIE MCCLELLAN WIGDAHL PA-C
NPI 1538310990
Physician Assistant in Minnetonka, MN

Active since October 03, 2008PECOS Enrolled
10900 WAYZATA BLVD STE 215, MINNETONKA, MN 55305(952) 500-0350 Get Directions Write a Review

NPPES record last updated: January 30, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 30, 2022, May 8, 2017, Mar 30, 2017 (3 updates tracked since 2017).

About Katie Mcclellan Wigdahl Pa-c NPPES

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

KATIE MCCLELLAN WIGDAHL PA-C (NPI 1538310990) is an individual physician assistant in Minnetonka, Minnesota, licensed in Minnesota (1209) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Minnetonka.

NPPES Registry Identity

NPI1538310990
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATIE MCCLELLAN WIGDAHLCredential: PA-C
Location Address10900 WAYZATA BLVD STE 215Minnetonka, MN 55305-5505
Mailing Address4848 County Road 101Minnetonka, MN 55345-2635 · (952) 401-3830
Phone(952) 500-0350
Sole ProprietorNo
Enumeration DateOctober 3, 2008
Last NPPES UpdateJanuary 30, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2022
✔ NPI 1538310990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MN · 1209
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 10512 (MN)
10900 WAYZATA BLVD STE 215, Minnetonka, MN 55305
Open in Google Maps ↗

Secondary Practice Location 1

Location 14848 County Road 101Minnetonka, MN 55345-2635 · Phone (952) 401-3830

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katie Mcclellan Wigdahl Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55305 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.

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 Katie Wigdahl's NPI number?

The NPI number for Katie Wigdahl is 1538310990. It was assigned to this individual provider in the NPPES registry on October 3, 2008.

Where is Katie Wigdahl located?

Katie Wigdahl practices at 10900 Wayzata Blvd Ste 215, Minnetonka, MN 55305. The listed phone number is (952) 500-0350.

What is Katie Wigdahl's specialty?

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

Is Katie Wigdahl enrolled in Medicare?

Yes. Katie Wigdahl is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katie Wigdahl was last updated on January 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.