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Active NPI 1407822554 Individual Practitioner Male Practitioner

Stephen C Wandersee , PA

Physician Assistant • St Paul, MN

Professional Overview & Biography Verified Profile Summary

Stephen Wandersee, PA is a registered healthcare professional specializing in Physician Assistant in St Paul, MN. Practice services are available at 640 JACKSON STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

640 Jackson Street
Mc 11102f

St Paul, MN 551012502

Telephone 6512543456
Fax 6512545216
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in St Paul, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.8 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
33 Specialists

Practicing in St Paul, MN (4026 Statewide)

Telehealth Adoption Rate
18.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MN 8866

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
477448500 (MN)

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003134636

Doctor of Medicine (M.D.)

Dr. Nicholas Boysen , MD

Internal Medicine

NPI 1003236373

Doctor of Medicine (M.D.)

Molly Cubinski

Nurse Anesthetist, Certified Registered

NPI 1003260803
Dr. Abigail Peterson , MD

Internal Medicine

NPI 1003342130

Doctor of Medicine (M.D.)

Lee Rivard , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003871229

Certified Registered Nurse Anesthetist

Christopher Kaye , PA-C

Physician Assistant

NPI 1003899527

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 24, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 24, 2015

Registered at 640 JACKSON STREET, MC 11102F, ST PAUL, MN 551012502 (Tel: 6512543456)

📍
Updated Business Mailing Address March 24, 2015

Registered at 8100 34TH AVE S, MC21110Q, BLOOMINGTON, MN 554251672 (Tel: 9528837172)

👤
Provider Name / Credentials Updated March 24, 2015

Recorded as STEPHEN WANDERSEE, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2015

Physician Assistant (License #8866 in MN)

🟢
Initial NPI Registration & Enumeration February 28, 2006

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: 1407822554
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 28, 2006
Last Update: March 24, 2015
Sole Proprietor: No

Mailing Address

8100 34th Ave S, Mc21110q

Bloomington, MN 554251672

Phone: 9528837172

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.