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ALLYCE KATHERINE FISK PA-C
NPI 1730432709
Physician Assistant - Surgical in Woodbury, MN

Active since October 16, 2012PECOS Enrolled
215 RADIO DR STE 100, WOODBURY, MN 55125(612) 596-6100 Get Directions Write a Review

NPPES record last updated: February 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 15, 2021, Aug 1, 2019 (2 updates tracked since 2019).

About Allyce Katherine Fisk Pa-c NPPES

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

ALLYCE KATHERINE FISK PA-C (NPI 1730432709) is an individual surgical provider in Woodbury, Minnesota and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1730432709
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameALLYCE KATHERINE FISKCredential: PA-C
Location Address215 RADIO DR STE 100Woodbury, MN 55125-5817
Mailing Address215 Radio DrWoodbury, MN 55125-5815 · (612) 596-6100
Phone(612) 596-6100
Sole ProprietorNo
Enumeration DateOctober 16, 2012
Last NPPES UpdateFebruary 15, 20212 updates tracked since enumeration
NPPES CertifiedOctober 16, 2020
✔ NPI 1730432709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedPhysician AssistantTaxonomy 363A00000X · License 11228 (MN)
215 RADIO DR STE 100, Woodbury, MN 55125
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12090 Woodwinds DrWoodbury, MN 55125-2522 · Phone (651) 968-5801 · Fax (651) 968-5899
Location 22025 E River PkwyMinneapolis, MN 55414 · Phone (612) 596-6100

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)

Allyce Katherine Fisk 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.

Other Providers at the Same Location NPPES 13

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

PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - MIDWEST, LLC
Prosthetic/Orthotic Supplier
215 RADIO DR STE 100
WOODBURY, MN 55125
Washington County (612) 593-6205
MAIREAD REYNOLDS ATC
Specialist/Technologist (Athletic Trainer)
215 RADIO DR STE 100
WOODBURY, MN 55125
Washington County (507) 993-0089
SHRINERS HOSPITALS FOR CHILDREN
Clinic/Center (Rehabilitation)
215 RADIO DR STE 100
WOODBURY, MN 55125
Washington County (612) 596-6100
SARAH SCUDDER DPT
Physical Therapist (Pediatrics)
215 RADIO DR STE 100
WOODBURY, MN 55125
Washington County (612) 596-6100
MS. SARAH CATHERINE ROWLEY P.T.
Physical Therapist (Pediatrics)
215 RADIO DR STE 100
WOODBURY, MN 55125
Washington County (612) 596-6100
ABIGAIL PATOKA DPT
Physical Therapist
215 RADIO DR STE 100
WOODBURY, MN 55125
Washington County (612) 596-6100
MS. KARI ANN LEIFHEIT P.T.
Physical Therapist (Pediatrics)
215 RADIO DR STE 100
WOODBURY, MN 55125
Washington County (612) 596-6100
MELISSA BONGARD PT
Physical Therapist
215 RADIO DR STE 100
WOODBURY, MN 55125
Washington County (612) 596-6155

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 Allyce Fisk's NPI number?

The NPI number for Allyce Fisk is 1730432709. It was assigned to this individual provider in the NPPES registry on October 16, 2012.

Where is Allyce Fisk located?

Allyce Fisk practices at 215 Radio Dr Ste 100, Woodbury, MN 55125. The listed phone number is (612) 596-6100.

What is Allyce Fisk's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Allyce Fisk enrolled in Medicare?

Yes. Allyce Fisk is registered in the Medicare PECOS enrollment system.

What insurance does Allyce Fisk accept?

Health plans from Medica list Allyce Fisk 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 Allyce Fisk was last updated on February 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.