MIO WATANABE PA-C
NPI 1730695412
Physician Assistant in Grand Forks, ND

Active since December 18, 2017PECOS EnrolledAccepts Medicare Assignment
3674 S WASHINGTON ST, GRAND FORKS, ND 58201(701) 205-3000(701) 732-2501 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 21, 2026, Apr 2, 2020, Jan 3, 2020 and 2 more (5 updates tracked since 2017).

About Mio Watanabe Pa-c NPPES

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

MIO WATANABE PA-C (NPI 1730695412) is an individual physician assistant in Grand Forks, North Dakota, licensed in North Dakota (PAC0794) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Springville, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1730695412
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMIO WATANABECredential: PA-C
Location Address3674 S WASHINGTON STGrand Forks, ND 58201-5766
Mailing AddressPo Box 5210Grand Forks, ND 58206-5210 · (701) 205-3000 · Fax (701) 732-2501
Fax(701) 732-2501
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateDecember 18, 2017
Last NPPES UpdateJanuary 21, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2026
NPI 1730695412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in ND · PAC0794 Licensed in UT · 105968801206 Licensed in MN · 13106 Licensed in AK · 141585
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.

3674 S WASHINGTON ST, Grand Forks, ND 58201

Secondary Practice Location 1

Location 1672 W 400 S # B201Springville, UT 84663-3157 · Phone (801) 369-8989

Other Identifiers 3

Medicaid1693549AK
Medicaid1730695412MN
Medicaid1478025ND

Accepted 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

Mio Watanabe 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 ID4789943036
PECOS Enrollment IDI20180115000092, I20190904000322, I20190924001968, I20250714001447
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
90 services18 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
75 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58201 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
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.

Physician Assistant
3674 S WASHINGTON ST
GRAND FORKS, ND 58201
Social Worker (Clinical)
3674 S WASHINGTON ST
GRAND FORKS, ND 58201
Nurse Practitioner (Psychiatric/Mental Health)
3674 S WASHINGTON ST
GRAND FORKS, ND 58201
Social Worker (Clinical)
3674 S WASHINGTON ST
GRAND FORKS, ND 58201
Physician Assistant
3674 S WASHINGTON ST
GRAND FORKS, ND 58201
Nurse Practitioner (Psychiatric/Mental Health)
3674 S WASHINGTON ST
GRAND FORKS, ND 58201
Physician Assistant
3674 S WASHINGTON ST
GRAND FORKS, ND 58201
Physician Assistant
3674 S WASHINGTON ST
GRAND FORKS, ND 58201

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 Mio Watanabe's NPI number?

The NPI number for Mio Watanabe is 1730695412. It was assigned to this individual provider in the NPPES registry on December 18, 2017.

Where is Mio Watanabe located?

Mio Watanabe practices at 3674 S Washington St, Grand Forks, ND 58201. The listed phone number is (701) 205-3000.

What is Mio Watanabe's specialty?

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

Is Mio Watanabe enrolled in Medicare?

Yes. Mio Watanabe 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 Mio Watanabe accept?

Health plans from Blue Cross Blue Shield of North Dakota, Blue Cross and Blue Shield of Montana, HealthPartners, Medica and Providence Health Plan and 3 other insurers list Mio Watanabe 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 Mio Watanabe was last updated on January 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.