Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639220080 Individual Practitioner Female Practitioner

Michelle Ann Wanner , PA-C

Physician Assistant • Bloomington, MN

Professional Overview & Biography Verified Profile Summary

Michelle Wanner, PA-C is a registered healthcare professional specializing in Physician Assistant in Bloomington, MN. Practice services are available at 4801 W 81ST ST STE 112 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4801 W 81st St Ste 112

Bloomington, MN 554371111

Telephone 9523453000
Fax 9523456789
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Bloomington, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.9 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
128 Specialists

Practicing in Bloomington, MN (4026 Statewide)

Telehealth Adoption Rate
24.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
63.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
20 20 $177.85 $64.42

Medical Specialties & State Licenses

CMS Verified: 2025-10-14
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MN 10360

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.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License MN 10360

Definition to come...

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License AZ 3553

Definition to come...

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License WI 2553-23

Definition to come...

Secondary Practice Locations

162 Cobblestone Ln

Burnsville, MN 553374578

Phone: 9523453000

7650 Currell Blvd Ste 260

Woodbury, MN 551258209

Phone: 9523453000

1630 101st Ave Ne Ste 160

Blaine, MN 554493403

Phone: 9523453000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Christina Jensen , OT

Occupational Therapist

NPI 1003517145

Occupational Therapist

Dr. Hailey Froehlich , OTD

Occupational Therapist

NPI 1033604467

Doctor of Occupational Therapy

Anna Restemayer , OT

Occupational Therapist

NPI 1053164640

Occupational Therapist

Dr. Angela Everson , DPT

Physical Therapist

NPI 1093192213

Doctor of Physical Therapy

Melissa Wick

Physical Therapist

NPI 1154756823
Dr. Linda Chai , DPT

Physical Therapist

NPI 1164147583

Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

22 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2025

Physician Assistant (License #10360 in MN)

📍
Updated Practice Location March 19, 2025

Registered at 4801 W 81ST ST STE 112, BLOOMINGTON, MN 554371111 (Tel: 9523453000)

📍
Updated Business Mailing Address March 19, 2025

Registered at 4801 W 81ST ST STE 112, BLOOMINGTON, MN 554371111 (Tel: 9529132907)

📍
Updated Practice Location September 26, 2023

Registered at 6150 EGAN DR, SAVAGE, MN 553782699 (Tel: 9524283370)

📍
Updated Business Mailing Address February 11, 2021

Registered at 3435 PROMENADE AVE APT 705, EAGAN, MN 551234413

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2021

Physician Assistant (License #3553 in AZ)

📍
Updated Practice Location November 11, 2020

Registered at 7280 E POINT DOUGLAS RD S, COTTAGE GROVE, MN 550163016 (Tel: 6517884444)

📍
Updated Business Mailing Address November 11, 2020

Registered at 2025 SLOAN PL STE 35, SAINT PAUL, MN 551172092 (Tel: 6517721572)

NPI Profile Active March 03, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 03, 2017

Registered at 15115 DOVE TRL, ATTN: MINUTECLINIC, APPLE VALLEY, MN 551247871 (Tel: 8663872727)

📍
Updated Business Mailing Address March 03, 2017

Registered at 15115 DOVE TRL, ATTN: MINUTECLINIC, APPLE VALLEY, MN 551247871 (Tel: 8663872727)

👤
Provider Name / Credentials Updated March 03, 2017

Recorded as MICHELLE WANNER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2017

Physician Assistant (License #2553-23 in WI)

📍
Updated Practice Location January 19, 2017

Registered at 875 E MAIN ST, ATTN: MINUTECLINIC, WACONIA, MN 553871081 (Tel: 8663872727)

📍
Updated Business Mailing Address January 19, 2017

Registered at 875 E MAIN ST, ATTN: MINUTECLINIC, WACONIA, MN 553871081 (Tel: 8663872727)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2017

Physician Assistant (License #2553-23 in WI)

NPI Profile Active April 25, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 25, 2016

Registered at 15115 DOVE TRL, ATTN: MINUTECLINIC, APPLE VALLEY, MN 551247871 (Tel: 9524233200)

📍
Updated Business Mailing Address April 25, 2016

Registered at 15115 DOVE TRL, ATTN: MINUTECLINIC, APPLE VALLEY, MN 551247871 (Tel: 9524233200)

👤
Provider Name / Credentials Updated April 25, 2016

Recorded as MICHELLE WANNER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2016

Physician Assistant (License #10360 in MN)

🟢
Initial NPI Registration & Enumeration January 14, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639220080
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 14, 2007
Last Update: October 14, 2025
Sole Proprietor: No

Mailing Address

4801 W 81st St Ste 112

Bloomington, MN 554371111

Phone: 9529132907

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.