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Hailey Grace Thom

Physician Assistant β€’ Minneapolis, MN

Active NPI 1487400347 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

800 E 28th St Ste 401
Minneapolis, MN 554073723

Call 6128630200 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

800 E 28th St Ste 401

Minneapolis, MN 554073723

Telephone 6128630200
Fax 6128630235
Organization at the Same NPPES Address or Phone
Allina Health System Facility NPI 1336185651

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 1 additional practice-address record in Arden Hills, MN. See the list

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

CMS Doctors and Clinicians lists 1 group name: Allina Health System. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

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

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2025

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

1 years (graduated 2025)

CMS Doctors and Clinicians data list 2025 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2024

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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, β€œDoes your provider accept Medicare as full payment?”

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)

Hailey Thom 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 Hailey Thom 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 Minneapolis and Minnesota

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Minneapolis

21.8% of these 500 clinicians have the CMS telehealth indicator.

70.8% of these 500 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-01-13
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MN 15539

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.

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

I20251031004124

Enrollment State Jurisdiction

MN

PECOS Control ID

1951890565

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.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Allina Health System

800 E 28th St, Minneapolis, MN 554073723

Phone: 6128630200

Secondary Practice Locations

2 Pine Tree Dr

Arden Hills, MN 551123754

Phone: 6516358000

Clinicians Sharing This Practice Address or Phone

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

38 listed
Dr. Eric Anderson , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1962729327

Doctor of Medicine (M.D.)

Annie Barlow , PA-C

Physician Assistant

NPI 1346518370

Physician Assistant (Certified)

Allison Burgstahler , PA

Physician Assistant

NPI 1144787680

Physician Assistant

Emily Coughlin , CNP

Nurse Practitioner - Family

NPI 1407630650

Certified Nurse Practitioner

Dr. Evidio Domingo Musibay , MD

Internal Medicine - Medical Oncology

NPI 1831321785

Doctor of Medicine (M.D.)

Courtney Dorle , PA-C

Physician Assistant

NPI 1073084463

Physician Assistant (Certified)

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Practice Location October 21, 2025

Registered at 800 E 28TH ST STE 401, MINNEAPOLIS, MN 554073723 (Tel: 6128630200)

πŸ“
Updated Business Mailing Address October 21, 2025

Registered at 2925 CHICAGO AVE, MINNEAPOLIS, MN 554071321 (Tel: 6122625000)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2025

Physician Assistant (license number reported to NPPES: MN 15539)

βœ…
NPI Profile Active April 30, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 30, 2024

Registered at 2 PINE TREE DR, ARDEN HILLS, MN 551123754 (Tel: 6516358000)

πŸ“
Business Mailing Address (Initial Record) April 30, 2024

Registered at 6781 BEAVER POND WAY, CENTERVILLE, MN 550383316 (Tel: 6513156160)

πŸ‘€
Provider Name / Credentials (Initial Record) April 30, 2024

Recorded as HAILEY THOM

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2024

Physician Assistant

🟒
Initial NPI Registration & Enumeration April 30, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1487400347
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 30, 2024
Last Update: January 13, 2026
Sole Proprietor: No

Other Physician Assistants in Minneapolis

All Physician Assistants in Minneapolis

Mailing Address

2925 Chicago Ave

Minneapolis, MN 554071321

Phone: 6122625000

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.