Active NPI 1770518599 Individual Practitioner Male Practitioner

Wyatt L Mitzel , PA-C

Physician Assistant • Fargo, ND

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Wyatt Mitzel, PA-C is a certified Physician Assistant practicing in Fargo, ND. With approximately 25 years of clinical experience since completing medical education in 2001, Wyatt Mitzel delivers high-quality medical care to the local community at 3000 32ND AVE S.

Wyatt Mitzel is affiliated with Innovis Health Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, new 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

3000 32nd Ave S

Fargo, ND 581036132

Telephone 7013648000

Fax 7013648078

Associated Practice Facility / Clinic

🏢 Dakota Specialty Institute Facility NPI 1851388961

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fargo, ND

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +14.1 yrs vs City Avg

City Avg: 10.9 Yrs

State Avg: 12.5 Yrs

Regional Practice Density

172 Specialists

Practicing in Fargo, ND (469 Statewide)

Telehealth Adoption Rate

18.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mitzel (25 Years) 25 Yrs

Fargo Specialty Average (10.9 Years) 10.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	452	302	$204.11	$78.34
99213 Established patient office or other outpatient visit, typically 15 minutes	69	66	$147.25	$52.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	301	214	$196.73	$79.35
99213 Established patient office or other outpatient visit, typically 15 minutes	80	68	$138.00	$53.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	13	$230.00	$64.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$273.64	$103.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	266	182	$183.29	$81.15
99213 Established patient office or other outpatient visit, typically 15 minutes	92	74	$129.21	$55.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$246.57	$111.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	14	$223.37	$58.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	257	187	$172.33	$82.84
99213 Established patient office or other outpatient visit, typically 15 minutes	94	82	$117.70	$55.87
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	16	$214.84	$59.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$238.00	$112.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	254	178	$183.61	$66.15
99213 Established patient office or other outpatient visit, typically 15 minutes	90	74	$131.33	$43.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	30	$212.00	$61.04
99442 Telephone medical discussion with physician, 11-20 minutes	19	19	$187.32	$43.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$167.73	$63.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	173	150	$140.12	$65.39
99213 Established patient office or other outpatient visit, typically 15 minutes	98	92	$84.04	$42.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	42	42	$344.67	$111.30
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	22	$193.33	$60.41
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	17	$99.52	$32.63
99221 Initial hospital inpatient care per day, typically 30 minutes	13	12	$257.46	$83.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	63	$119.17	$65.61
99213 Established patient office or other outpatient visit, typically 15 minutes	61	51	$69.54	$42.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	41	$342.28	$113.61
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	41	26	$179.85	$59.97
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	19	$98.42	$32.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	22	$35.78	$21.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	429	300	$146.89	$65.00
99213 Established patient office or other outpatient visit, typically 15 minutes	268	212	$102.19	$42.14
99231 Follow-up hospital inpatient care per day, typically 15 minutes	94	71	$96.44	$32.51
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	60	41	$192.00	$60.01
99238 Hospital discharge day management, 30 minutes or less	25	23	$163.80	$60.49

Medical Specialties & State Licenses

CMS Verified: 2025-01-09

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License ND PAC0269

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

084985500 (ND)

Commercial Insurance / Payer ID Ndbs #

21288 (ND)

Commercial Insurance / Payer ID Preferred One #

DA9011029348 (ND)

Commercial Insurance / Payer ID Medica #

0113521 (ND)

Commercial Insurance / Payer ID Medica #

0113522 (ND)

Commercial Insurance / Payer ID Mnbs #

49G81MI (ND)

Commercial Insurance / Payer ID Healthpartners #

HP38584 (ND)

Commercial Insurance / Payer ID America's Ppo/araz #

1783342 (ND)

Hospital & Practice Group Affiliations

Innovis Health Llc

132 4th Ave Ne, Valley City, ND 580723056

Phone: 7018458060

Innovis Health Llc

275 11th St S, Wahpeton, ND 580754655

Phone: 7016422000

Innovis Health Llc

3000 32nd Ave S, Fargo, ND 581036132

Phone: 7013648000

Secondary Practice Locations

801 Broadway N

Fargo, ND 58102

Phone: 7012342000

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Zena Homan , MD

Obstetrics & Gynecology

NPI 1003006651

Doctor of Medicine (M.D.)

Dr. Adam Defoe , MD

Radiology - Diagnostic Radiology

NPI 1003044975

Doctor of Medicine (M.D.)

Leslie Myer , OTR, L

Occupational Therapist

NPI 1003222878

Occupational Therapist Registered, L

Dr. Zachary Ernst , MD

Surgery

NPI 1013295260

Doctor of Medicine (M.D.)

Nicholas Frederiksen , APRN, CNP

Nurse Practitioner - Adult Health

NPI 1013319334

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Dr. Muhammad Waqas , MD

Hospitalist

NPI 1013560473

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Practice Location July 10, 2019

Registered at 3000 32ND AVE S, FARGO, ND 581036132 (Tel: 7013648000)

📍

Updated Business Mailing Address July 10, 2019

Registered at 400 E 3RD ST, DULUTH, MN 558051951

👤

Provider Name / Credentials Updated July 10, 2019

Recorded as WYATT MITZEL, PA-C

📍

Updated Practice Location September 14, 2018

Registered at 801 BROADWAY N, FARGO, ND 58102 (Tel: 7012342000)

📍

Updated Business Mailing Address September 14, 2018

Registered at PO BOX 2010, FARGO, ND 581222484

✅

NPI Profile Active August 23, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 23, 2016

Registered at 3000 32ND AVE S, FARGO, ND 581036132 (Tel: 7013648000)

📍

Updated Business Mailing Address August 23, 2016

Registered at PO BOX 6001, FARGO, ND 581086001 (Tel: 7013643300)

👤

Provider Name / Credentials Updated August 23, 2016

Recorded as WYATT MITZEL, PAC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2016

Physician Assistant (License #PAC0269 in ND)

🟢

Initial NPI Registration & Enumeration July 11, 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: 1770518599

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 11, 2006

Last Update: January 09, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

400 E 3rd St

Duluth, MN 558051951

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.