CARLY WITHERELL PA-C
NPI 1750904819
Physician Assistant in Minneapolis, MN

NPI Status: Active since May 24, 2020

Contact Information

420 DELAWARE ST SE
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 884-0600

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Insurance Plans Accepted
Secondary Locations
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Physician Assistant
Accepts Insurance
PECOS Enrolled

About CARLY WITHERELL

This page provides the complete NPI Profile along with additional information for Carly Witherell, a primary care provider established in Minneapolis, Minnesota with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1750904819 assigned on May 2020. The practitioner's primary taxonomy code is 363A00000X. The provider is registered as an individual and her NPI record was last updated 2 years ago. Carly Witherell operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization.

NPI: 1750904819
Provider Name: CARLY WITHERELL PA-C
Gender: Female
Entity Type: Individual
Location Address: 420 DELAWARE ST SE MINNEAPOLIS, MN 55455
Location Phone: (612) 884-0600
Mailing Address: 420 DELAWARE ST SE MINNEAPOLIS, MN 55455
Mailing Phone: (612) 624-8199
Is Sole Proprietor?: Yes
Enumeration Date: 05-24-2020
Last Update Date: 08-08-2023
Code Navigator

A primary care provider (PCP) like Carly Witherell sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

3200 Grand Ave
Des Moines, IA 50312
(515) 271-1569
5501 Feltl Rd
Minnetonka, MN 55343
(952) 746-0222

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Physician Assistant
Taxonomy Code: 363A00000X
Type: Physician Assistants & Advanced Practice Nursing Providers
License State: MN
Taxonomy Description: 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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medica

Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
Medica Individual Choice Bronze HSA - EPO
Medica Individual Choice Bronze Share - EPO
Medica Individual Choice Bronze Share - HMO
Medica Individual Choice Expanded Bronze Standard - EPO
Medica Individual Choice Expanded Bronze Standard - HMO
Medica Individual Choice Gold $0 Copay PCP Visits - EPO
Medica Individual Choice Gold $0 Copay PCP Visits - HMO
Medica Individual Choice Gold Share - EPO
Medica Individual Choice Gold Share - HMO
Medica Individual Choice Gold Standard - EPO
Medica Individual Choice Gold Standard - HMO
Medica Individual Choice Silver $0 Copay PCP Visits - EPO
Medica Individual Choice Silver $0 Copay PCP Visits - HMO
Medica Individual Choice Silver Share - EPO
Medica Individual Choice Silver Share - HMO
Medica Individual Choice Silver Standard - EPO
Medica Individual Choice Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Carly Witherell is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 55455 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

Average New Patient Price $85.82
Minimum New Patient Price $56
Maximum New Patient Price $168.28

Average New Patient Copayment $21.45
Minimum New Patient Copayment $14
Maximum New Patient Copayment $42.07

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

Average Established Patient Price $69.74
Minimum Established Patient Price $18.32
Maximum Established Patient Price $138.04

Average Established Patient Copayment $17.43
Minimum Established Patient Copayment $4.58
Maximum Established Patient Copayment $34.51

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	7	5	0	9	0	4	8	1	9
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	10	0	18	0	8	8	2
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 8 + 0 + 8 + 8 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 9									9

The NPI number 1750904819 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

MS. JESSICA S GREENBERG M.S.

Genetic Counselor, MS

420 DELAWARE ST SE
MMC 484
MINNEAPOLIS, MN
ZIP 55455

About CARLY WITHERELL

Location Map

Secondary Locations

Specialty - Primary Taxonomy

Physician Assistant

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

Insurance Plans Accepted

Medica

Medicare Participation & PECOS Enrollment Status

Is the provider registered in PECOS? Yes

Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

Eligible to Order or Refer a Home Health Agency (HHA): Yes

Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

New Patients Visit Costs *

Established Patients Visit Costs *

Reviews for CARLY WITHERELL PA-C

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is Carly Witherell's NPI number?

Where is the provider located?

What is the provider's specialty?

What insurance does Carly Witherell accept?