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

ZACHARY MCCALLEY
NPI 1669041679
Physician Assistant in Minnetonka, MN

Active since June 23, 2021PECOS EnrolledAccepts Medicare Assignment
13100 WAYZATA BLVD STE 200, MINNETONKA, MN 55305(952) 206-2040 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2025, Apr 19, 2024, Jun 23, 2021 (3 updates tracked since 2021).

About Zachary Mccalley NPPES

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

ZACHARY MCCALLEY (NPI 1669041679) is an individual physician assistant in Minnetonka, Minnesota, licensed in Illinois (085008362) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1669041679
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameZACHARY MCCALLEY
Location Address13100 WAYZATA BLVD STE 200Minnetonka, MN 55305-1810
Mailing Address1900 Silver Lake Rd Nw Ste 110New Brighton, MN 55112-1789 · (651) 628-9566
Phone(952) 206-2040
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 23, 2021
Last NPPES UpdateNovember 21, 20253 updates tracked since enumeration
NPPES CertifiedNovember 21, 2025
✔ NPI 1669041679 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 IL · 085008362
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.
13100 WAYZATA BLVD STE 200, Minnetonka, MN 55305
Open in Google Maps ↗

Accepted Insurance

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

Zachary Mccalley 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 ID2163829425
PECOS Enrollment IDI20210929001505
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.

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.

JACEY TUPA
Marriage & Family Therapist
13100 WAYZATA BLVD STE 200
MINNETONKA, MN 55305
Hennepin County (952) 206-2040
GAGE O'NEAL
Social Worker (Clinical)
13100 WAYZATA BLVD STE 200
MINNETONKA, MN 55305
Hennepin County (952) 206-2040
CHARELL DUTTON
Counselor (Professional)
13100 WAYZATA BLVD STE 200
MINNETONKA, MN 55305
Hennepin County (952) 206-2040
COLLEEN LONGHENRY
Counselor (Addiction (Substance Use Disorder))
13100 WAYZATA BLVD STE 200
MINNETONKA, MN 55305
Hennepin County (952) 206-2040
AUDREY COHEN LADC
Counselor (Addiction (Substance Use Disorder))
13100 WAYZATA BLVD STE 200
MINNETONKA, MN 55305
Hennepin County (952) 206-2040
MS. CARA LYNN CORO MSW, LGSW
Counselor (Mental Health)
13100 WAYZATA BLVD STE 200
MINNETONKA, MN 55305
Hennepin County (952) 206-2040
ZOE SPENCER BERNARD
Counselor (Mental Health)
13100 WAYZATA BLVD STE 200
MINNETONKA, MN 55305
Hennepin County (952) 206-2040
ANN MARGET HERRON MA
Counselor (Mental Health)
13100 WAYZATA BLVD STE 200
MINNETONKA, MN 55305
Hennepin County (612) 889-9185

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 Zachary Mccalley's NPI number?

The NPI number for Zachary Mccalley is 1669041679. It was assigned to this individual provider in the NPPES registry on June 23, 2021.

Where is Zachary Mccalley located?

Zachary Mccalley practices at 13100 Wayzata Blvd Ste 200, Minnetonka, MN 55305. The listed phone number is (952) 206-2040.

What is Zachary Mccalley's specialty?

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

Is Zachary Mccalley enrolled in Medicare?

Yes. Zachary Mccalley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Zachary Mccalley accept?

Health plans from HealthPartners list Zachary Mccalley 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 Zachary Mccalley was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.