Ebtisam Wais
NPI 1013685098 · Physician Assistant · Saint Paul, MN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ebtisam Wais is a Physician Assistant provider in Saint Paul, MN (NPI 1013685098).
Provider details
- NPI number
- 1013685098
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 14700 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 927 Churchill St WStillwater, MN 55082-6605Phone: (651) 430-4529
Registry dates
- Enumerated
- 2021-09-02
- Last updated
- 2024-04-04
- Certified
- 2024-04-04
Frequently asked questions
- What is Ebtisam Wais's NPI number?
- Ebtisam Wais's National Provider Identifier (NPI) is 1013685098, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ebtisam Wais's specialty?
- Ebtisam Wais is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ebtisam Wais located?
- Ebtisam Wais's practice location on file with NPPES is 640 Jackson St, Saint Paul, MN 55101-2502.
- What is Ebtisam Wais's phone number?
- The practice phone number listed in the NPPES registry for Ebtisam Wais is (651) 254-3456.
- Does Ebtisam Wais accept Medicare?
- Ebtisam Wais is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ebtisam Wais's NPI active?
- Yes — Ebtisam Wais's NPI (1013685098) is active in the NPPES registry as of the last update on 2024-04-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.