Individual provider Active NPI

Gretchen Olsen Zachel, PA

  • Physician Assistant
  • Coon Rapids, MN
National Provider Identifier
1003094111
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8952 Issued in MN
Practice address
1879 128TH Ave NW
Coon Rapids, MN 55448-7003
Phone
(763) 767-9113
NPI assigned
Jan 31, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 8952 MN Primary

Addresses

Primary practice location

1879 128TH Ave NW
Coon Rapids, MN 55448-7003

Mailing address

1879 128TH Ave NW
Coon Rapids, MN 55448-7003
Phone (763) 767-9113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Burdash Family Chiropractic, Corp Past Accepting new patients
Centracare Health System Past Accepting new patients
Allina Health System Past Accepting new patients
Sports & Family Wellness, PLLC PastSince Jan 27, 2014 Accepting new patients
St Joseph'S Area Health Services Past Accepting new patients
Ottumwa ER LLC Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201737600000",
    "number": "1003094111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1879 128TH AVE NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554487003",
            "telephone_number": "763-767-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1879 128TH AVE NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554487003",
            "telephone_number": "763-767-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHEL",
        "first_name": "GRETCHEN",
        "middle_name": "OLSEN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "8952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coon Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.