Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Michelle Ann Wanner , PA-C

Physician Assistant โ€ข Bloomington, MN

Active NPI 1639220080 Individual Practitioner Female Practitioner
Practice location in NPPES

4801 W 81st St Ste 112
Bloomington, MN 554371111

Call 9523453000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4801 W 81st St Ste 112

Bloomington, MN 554371111

Telephone 9523453000
Fax 9523456789
Organization at the Same NPPES Address or Phone
National Dizzy & Balance Center,ltd. Facility NPI 1023021938

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 3 distinct additional practice-address records in Blaine, MN; Burnsville, MN; Woodbury, MN. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare-allowed amount

About $1,288 in 2020

The total amount Medicare approved for these services in 2020. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2020.

Paid by Medicare

About $1,123 in 2020

The part of the Medicare-allowed amount that Medicare itself paid in 2020, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2020.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Michelle Wanner has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Michelle Wanner as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Bloomington and Minnesota

Billing and prescribing volume is not a quality rating.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Michelle Wanner are from 2020.

128 active clinicians are listed under Physician Assistant with a practice address in Bloomington, MN (4,007 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bloomington

24.2% of these 128 clinicians have the CMS telehealth indicator.

69.5% of these 128 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2020), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2020.

CMS Part B ยท Data Year 2020
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2018โ€“2019 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2019โ€“2020; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
20 20 $177.85 $64.42

Source: CMS Part B by Provider and Service, 2020; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-10-14
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES 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

License # reported to NPPES MN 10360
Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

License # reported to NPPES AZ 3553
Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

License # reported to NPPES WI 2553-23
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20080130000786

Enrollment State Jurisdiction

MN

PECOS Control ID

5890877765

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

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

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

39 listed
Dr. Daniel Adam , MD

General Practice

NPI 1548826555

Doctor of Medicine (M.D.)

Dr. Mark Agre , MD

Physical Medicine & Rehabilitation

NPI 1902919723

Doctor of Medicine (M.D.)

Caleb Anderson , PT

Physical Therapist

NPI 1497182760

Physical Therapist

Kelly Brock , OTR, L

Occupational Therapist

NPI 1184198871

Occupational Therapist Registered, L

Natalie Brown , PA-C

Physician Assistant

NPI 1811633233

Physician Assistant (Certified)

Samantha Buhmann , PA-C

Occupational Therapist

NPI 1235826603

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

22 Historical Events
๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2025

Physician Assistant (license number reported to NPPES: MN 10360)

๐Ÿ“
Updated Practice Location March 19, 2025

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

๐Ÿ“
Updated Business Mailing Address March 19, 2025

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

๐Ÿ“
Updated Practice Location September 26, 2023

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

๐Ÿ“
Updated Business Mailing Address February 11, 2021

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

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2021

Physician Assistant (license number reported to NPPES: AZ 3553)

๐Ÿ“
Updated Practice Location November 11, 2020

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

๐Ÿ“
Updated Business Mailing Address November 11, 2020

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

โœ…
NPI Profile Active March 03, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Updated Practice Location March 03, 2017

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

๐Ÿ“
Updated Business Mailing Address March 03, 2017

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

๐Ÿ‘ค
Provider Name / Credentials Updated March 03, 2017

Recorded as MICHELLE WANNER, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2017

Physician Assistant (license number reported to NPPES: WI 2553-23)

๐Ÿ“
Updated Practice Location January 19, 2017

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

๐Ÿ“
Updated Business Mailing Address January 19, 2017

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

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2017

Physician Assistant (license number reported to NPPES: WI 2553-23)

โœ…
NPI Profile Active April 25, 2016

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) April 25, 2016

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

๐Ÿ“
Business Mailing Address (Initial Record) April 25, 2016

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

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) April 25, 2016

Recorded as MICHELLE WANNER, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2016

Physician Assistant (license number reported to NPPES: MN 10360)

๐ŸŸข
Initial NPI Registration & Enumeration January 14, 2007

First registered as active Individual Practitioner in NPPES Database.

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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

Other Physician Assistants in Bloomington

All Physician Assistants in Bloomington

Mailing Address

4801 W 81st St Ste 112

Bloomington, MN 554371111

Phone: 9529132907

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.