WYATT L MITZEL PA-C
NPI 1770518599
Physician Assistant in Fargo, ND
About Wyatt L Mitzel Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WYATT L MITZEL PA-C (NPI 1770518599) is an individual physician assistant in Fargo, North Dakota, licensed in North Dakota (PAC0269) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Marys - Detroit Lakes, and maintains a secondary practice location in Fargo.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 8
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
Wyatt L Mitzel 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.
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Essentia Health St Marys - Detroit Lakes
Acute Care Hospitals · Detroit Lakes, MNSanford Medical Center Fargo
Acute Care Hospitals · Fargo, NDEssentia Health
Acute Care Hospitals · Fargo, NDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 58103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FARGO, ND 58103
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 Wyatt Mitzel's NPI number?
The NPI number for Wyatt Mitzel is 1770518599. It was assigned to this individual provider in the NPPES registry on July 11, 2006.
Where is Wyatt Mitzel located?
Wyatt Mitzel practices at 3000 32nd Ave S, Fargo, ND 58103. The listed phone number is (701) 364-8000.
What is Wyatt Mitzel's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Wyatt Mitzel enrolled in Medicare?
Yes. Wyatt Mitzel 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 Wyatt Mitzel accept?
Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Wyatt Mitzel 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.
Is Wyatt Mitzel affiliated with any hospitals?
According to CMS data, Wyatt Mitzel is affiliated with Essentia Health St Marys - Detroit Lakes, Sanford Medical Center Fargo and Essentia Health.
When was this NPI record last updated?
The NPPES record for Wyatt Mitzel was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Wyatt L Mitzel, PA-C · NPI 1770518599
Physician Assistant physician in Fargo, North Dakota. Individual provider, active in the CMS NPPES registry since July 11, 2006.
## Identity
- **NPI:** 1770518599 (Entity type: Individual)
- **Enumerated:** July 11, 2006
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PAC0269 (North Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 3000 32ND AVE S, Fargo, ND 58103-6132
- **Phone:** (701) 364-8000 · **Fax:** (701) 364-8078
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** January 9, 2025
- **Other identifiers:** Other 0113522 (ND); Other 21288 (ND); Other DA9011029348 (ND); and 5 more
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Source: [NPI Profile](https://npiprofile.com/npi/1770518599) · Data from the CMS NPPES public registry.