MICHELLE ANN WANNER PA-C
NPI 1639220080
Physician Assistant in Bloomington, MN

Q: What is Michelle Wanner's NPI number?

The NPI number for Michelle Wanner is 1639220080. It was assigned to this individual provider in the NPPES registry on January 14, 2007.

Q: What is Michelle Wanner'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 Michelle Wanner was last updated on October 14, 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.

Active since January 14, 2007PECOS Enrolled

4801 W 81ST ST STE 112, BLOOMINGTON, MN 55437(952) 345-3000(952) 345-6789 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 19, 2025, Oct 26, 2023, Feb 11, 2021 and 3 more (6 updates tracked since 2017).

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About Michelle Ann Wanner Pa-c NPPES

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

MICHELLE ANN WANNER PA-C (NPI 1639220080) is an individual physician assistant in Bloomington, Minnesota, licensed in Minnesota (10360) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1639220080

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMICHELLE ANN WANNERCredential: PA-C

Location Address4801 W 81ST ST STE 112Bloomington, MN 55437-1111

Mailing Address4801 W 81st St Ste 112Bloomington, MN 55437-1111 · (952) 913-2907 · Fax (952) 345-6789

Phone(952) 345-3000

Fax(952) 345-6789

Sole ProprietorNo

Enumeration DateJanuary 14, 2007

Last NPPES UpdateOctober 14, 20256 updates tracked since enumeration

NPPES CertifiedOctober 14, 2025

✔ NPI 1639220080 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 · 10360

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 ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 10360 (MN), 3553 (AZ), 2553-23 (WI)

4801 W 81ST ST STE 112, Bloomington, MN 55437

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Secondary Practice Locations 3

Location 1162 Cobblestone LnBurnsville, MN 55337-4578 · Phone (952) 345-3000 · Fax (952) 345-6789

Location 27650 Currell Blvd Ste 260Woodbury, MN 55125-8209 · Phone (952) 345-3000 · Fax (952) 345-6789

Location 31630 101st Ave NE Ste 160Blaine, MN 55449-3403 · Phone (952) 345-3000 · Fax (952) 345-6789

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 (PECOS)

Michelle Ann Wanner 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 55437 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.

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