WADE SWOBODA PA-C
NPI 1578109765
Physician Assistant in Woodbury, MN

Q: What is Wade Swoboda's NPI number?

The NPI number for Wade Swoboda is 1578109765. It was assigned to this individual provider in the NPPES registry on November 21, 2019.

Q: What is Wade Swoboda'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 Wade Swoboda was last updated on November 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since November 21, 2019PECOS EnrolledAccepts Medicare Assignment

2090 WOODWINDS DR STE 200, WOODBURY, MN 55125(651) 968-5201(651) 767-1901 Get Directions Write a Review

NPPES record last updated: November 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 18, 2022, Mar 22, 2021, Mar 8, 2021 and 3 more (6 updates tracked since 2019).

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About Wade Swoboda Pa-c NPPES

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

WADE SWOBODA PA-C (NPI 1578109765) is an individual physician assistant in Woodbury, Minnesota, licensed in Minnesota (13393) and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1578109765

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameWADE SWOBODACredential: PA-C

Location Address2090 WOODWINDS DR STE 200Woodbury, MN 55125-2522

Mailing Address710 Commerce Dr Ste 200Woodbury, MN 55125-4925

Phone(651) 968-5201

Fax(651) 767-1901

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateNovember 21, 2019

Last NPPES UpdateNovember 18, 20226 updates tracked since enumeration

NPPES CertifiedNovember 18, 2022

✔ NPI 1578109765 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 · 13393

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.

2090 WOODWINDS DR STE 200, Woodbury, MN 55125

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Accepted Insurance

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

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

Wade Swoboda 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 ID6204241110

PECOS Enrollment IDI20210225003384

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 55125 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 17

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

ALICIA MERCEDES REARDON APRN, CNP

Nurse Practitioner (Family)