Michelle Wanner, PA-C
NPI 1639220080 · Physician Assistant · Bloomington, MN
Provider details
- NPI number
- 1639220080
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 10360 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
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
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 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 (3)
- 1630 101st Ave Ne Ste 160Blaine, MN 55449-3403Phone: (952) 345-3000Fax: (952) 345-6789
- 162 Cobblestone LnBurnsville, MN 55337-4578Phone: (952) 345-3000Fax: (952) 345-6789
- 7650 Currell Blvd Ste 260Woodbury, MN 55125-8209Phone: (952) 345-3000Fax: (952) 345-6789
Registry dates
- Enumerated
- 2007-01-14
- Last updated
- 2025-10-14
- Certified
- 2025-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.