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MR. SAMUEL CARL GISSELMAN PA-C
NPI 1972492114
Physician Assistant in Minneapolis, MN

Active since July 01, 2025PECOS Enrolled
1801 NICOLLET AVE, MINNEAPOLIS, MN 55403(612) 823-2947 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Samuel Carl Gisselman Pa-c NPPES

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

MR. SAMUEL CARL GISSELMAN PA-C (NPI 1972492114) is an individual physician assistant in Minneapolis, Minnesota, licensed in Minnesota (15416) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972492114
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. SAMUEL CARL GISSELMANCredential: PA-C
Location Address1801 NICOLLET AVEMinneapolis, MN 55403-3791
Mailing Address4954 Xerxes Ave S Ste 209Minneapolis, MN 55410-2328 · (612) 388-9573
Phone(612) 823-2947
Sole ProprietorNo
Enumeration DateJuly 1, 2025
Last NPPES UpdateJuly 3, 2025
NPPES CertifiedJuly 3, 2025
✔ NPI 1972492114 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 MN · 15416
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.
1801 NICOLLET AVE, Minneapolis, MN 55403
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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)

Mr. Samuel Carl Gisselman 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55403 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.

MRS. CHERYL ELIZABETH SETTIMI CNP
Nurse Practitioner (Family)
1801 NICOLLET AVE
MINNEAPOLIS, MN 55403
Hennepin County (612) 823-2947
MS. FADUMO M ABDI CHW
Community Health Worker
1801 NICOLLET AVE
MINNEAPOLIS, MN 55403
Hennepin County (612) 823-2947
DR. JUAN R LEWIS M.D.
Family Medicine
1801 NICOLLET AVE, STE 101
MINNEAPOLIS, MN 55403
Hennepin County (612) 823-2947
DR. DARLENE M SHOLTIS
Psychologist (Clinical)
1801 NICOLLET AVE
MINNEAPOLIS, MN 55403
Hennepin County (612) 596-0900
HENNEPIN COUNTY
Case Management
1801 NICOLLET AVE
MINNEAPOLIS, MN 55403
Hennepin County (612) 348-6384
DR. HARVEY D LINDER PHD, LP
Psychologist (Clinical)
1801 NICOLLET AVE
MINNEAPOLIS, MN 55403
Hennepin County (612) 596-0900
PAUL TRAUGH LICSW
Social Worker (Clinical)
1801 NICOLLET AVE
MINNEAPOLIS, MN 55403
Hennepin County (612) 596-0900
CAROLE J WHITE
Social Worker (Clinical)
1801 NICOLLET AVE
MINNEAPOLIS, MN 55403
Hennepin County (612) 596-0900

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 Samuel Gisselman's NPI number?

The NPI number for Samuel Gisselman is 1972492114. It was assigned to this individual provider in the NPPES registry on July 1, 2025.

Where is Samuel Gisselman located?

Samuel Gisselman practices at 1801 Nicollet Ave, Minneapolis, MN 55403. The listed phone number is (612) 823-2947.

What is Samuel Gisselman's specialty?

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

Is Samuel Gisselman enrolled in Medicare?

Yes. Samuel Gisselman is registered in the Medicare PECOS enrollment system.

What insurance does Samuel Gisselman accept?

Health plans from Medica list Samuel Gisselman 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 Samuel Gisselman was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.