Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750904819 Individual Practitioner Female Practitioner

Carly Witherell , PA-C

Physician Assistant • Minneapolis, MN

Professional Overview & Biography Verified Profile Summary

Carly Witherell, PA-C is a registered healthcare professional specializing in Physician Assistant in Minneapolis, MN. Practice services are available at 420 DELAWARE ST SE under active NPI credentials.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

420 Delaware St Se

Minneapolis, MN 554550341

Telephone 6128840600
Associated Practice Facility / Clinic
🏢 University Of Minnesota Facility NPI 1730371857

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Minneapolis, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.3 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
502 Specialists

Practicing in Minneapolis, MN (4026 Statewide)

Telehealth Adoption Rate
21.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
78.2% 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 (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
20 11 $434.00 $94.76

Medical Specialties & State Licenses

CMS Verified: 2023-08-08
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Secondary Practice Locations

3200 Grand Ave

Des Moines, IA 503124104

Phone: 5152711569

5501 Feltl Rd

Minnetonka, MN 553433944

Phone: 9527460222

Practice Associates & Co-Workers

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

9 Associated Practitioners
NPI 1326571548

Doctor of Osteopathic Medicine (D.O.)

Elizabeth Greenhoe , AGACNP

Nurse Practitioner - Gerontology

NPI 1336032887

Adult-Gerontology Acute Care Nurse Practitioner

Ann Maresh , NP

Nurse Practitioner

NPI 1457304206

Nurse Practitioner

Sydney Johnson-Holt

Nurse Practitioner - Acute Care

NPI 1558280685
Sara Fry , PA-C

Physician Assistant

NPI 1679287668

Physician Assistant (Certified)

Allison Zager

Nurse Practitioner

NPI 1689149031

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location August 08, 2023

Registered at 420 DELAWARE ST SE, MINNEAPOLIS, MN 554550341 (Tel: 6128840600)

📍
Updated Business Mailing Address August 08, 2023

Registered at 420 DELAWARE ST SE, MINNEAPOLIS, MN 554550341 (Tel: 6126248199)

👤
Provider Name / Credentials Updated August 08, 2023

Recorded as CARLY WITHERELL, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2023

Physician Assistant

📍
Updated Practice Location March 25, 2022

Registered at 3200 GRAND AVE, DES MOINES, IA 503124104 (Tel: 5152711569)

NPI Profile Active May 24, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 24, 2020

Registered at 5501 FELTL RD, MINNETONKA, MN 553433944 (Tel: 9527460222)

📍
Updated Business Mailing Address May 24, 2020

Registered at 1509 SOUTHCROSS DR W, BURNSVILLE, MN 553066945 (Tel: 9524919810)

👤
Provider Name / Credentials Updated May 24, 2020

Recorded as CARLY WITHERELL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2020

Behavior Technician

🟢
Initial NPI Registration & Enumeration May 24, 2020

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: 1750904819
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2020
Last Update: August 08, 2023
Sole Proprietor: Yes

Mailing Address

420 Delaware St Se

Minneapolis, MN 554550341

Phone: 6126248199

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.