Individual provider Active NPI

Wynonah Filla, PA-C

  • Physician Assistant
  • Mora, MN
National Provider Identifier
1013785948
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-15721 Issued in NC
Practice address
301 MN-65
Mora, MN 55051
Phone
(320) 679-1212
NPI assigned
Dec 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 14806 MN
Physician Assistant 363A00000X 0010-15721 NC Primary

Addresses

Primary practice location

301 MN-65
Mora, MN 55051

Mailing address

3377 Maureen LN
Stillwater, MN 55082-6797

Other practice location 1

900 Hilligoss Blvd SE
Fosston, MN 56542-1542
Phone (218) 435-1212

Other practice location 2

701 Dellwood St S
Cambridge, MN 55008-1920
Phone (763) 688-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, OK, NC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240328003359 MN Practitioner - Physician Assistant 2769820554 Reassigns benefits to 8 organizations
I20260207000181 OK Practitioner - Physician Assistant 2769820554 Reassigns benefits to 1 organization
I20260228000102 NC Practitioner - Physician Assistant 2769820554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Regional Health CenterGroup PAC ID 2062326820, 190 clinicians
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians
Aitkin Community Hospital IncGroup PAC ID 4981514692, shared by 7 NPIs, 96 clinicians
Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians
Ies ER Oklahoma LLCGroup PAC ID 5395234678, 135 clinicians

Practice addresses (Care Compare)

1027 Washington Ave
Detroit Lakes, MN 56501-3409
Phone (218) 847-5611

1705 Tarboro St SW
Wilson, NC 27893-3428
Phone (252) 399-8101

200 Bunker Hill Dr
Aitkin, MN 56431-1865
Phone (218) 927-2121

4166 Lexington Ave N
Shoreview, MN 55126-6106
Phone (651) 241-1306

4194 Lexington Ave N
Shoreview, MN 55126-6106
Phone (651) 483-5461

440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225

6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 494-2200

755 Crossroads Campus Dr NE
Buffalo, MN 55313-5074
Phone (763) 684-6300

Hospital & facility affiliations

  • Riverwood Healthcare Center Hospital, Aitkin, MN, CCN 241305
  • Wilson Medical Center Hospital, Wilson, NC, CCN 340126
  • Essentia Health St Marys - Detroit Lakes Hospital, Detroit Lakes, MN, CCN 240101
  • Essentia Health Fosston Hospital, Fosston, MN, CCN 241357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-15721NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aitkin Community Hospital, Inc. CurrentSince Apr 17, 2025 Accepting new patients
Allina Health System CurrentSince Jun 22, 2025 Accepting new patients
Mille Lacs Health System CurrentSince Nov 30, 2025 Accepting new patients
Ies ER Oklahoma LLC CurrentSince Jan 9, 2026 Accepting new patients
First Care Medical Services CurrentSince Oct 16, 2025 Accepting new patients
Aitkin Community Hospital, Inc. Current Accepting new patients
Aitkin Community Hospital, Inc. CurrentSince Apr 17, 2025 Accepting new patients
Mille Lacs Health System CurrentSince Nov 30, 2025 Accepting new patients
St Mary'S Regional Health Center CurrentSince Oct 16, 2025 Accepting new patients
First Care Medical Services CurrentSince Jan 1, 2026 Accepting new patients
First Care Medical Services CurrentSince Oct 16, 2025 Accepting new patients
Emergency Coverage, LLC CurrentSince Jan 1, 2026 Accepting new patients
St Mary'S Regional Health Center CurrentSince Oct 16, 2025 Accepting new patients
St. Marys Regional Health Center Current Accepting new patients
Allina Health System CurrentSince Jun 22, 2025 Accepting new patients

Locations

200 Bunker Hill Dr
Aitkin, MN 56431
Phone (218) 927-2121

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

701 Dellwood St S
Cambridge, MN 55008
Phone (763) 689-7700

1027 Washington Ave
Detroit Lakes, MN 56501
Phone (218) 844-2300

900 Hilligoss Blvd SE
Fosston, MN 56542
Phone (218) 435-1133

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

301 Highway 65 S
Mora, MN 55051
Phone (320) 225-3317

200 Elm St N
Onamia, MN 56359
Phone (320) 532-2750

1705 Tarboro St SW
Wilson, NC 27893
Phone (252) 399-8040

10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1013785948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3377 MAUREEN LN",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MN-65",
            "city": "MORA",
            "state": "MN",
            "postal_code": "55051",
            "telephone_number": "320-679-1212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Hilligoss Blvd SE",
            "address_purpose": "LOCATION",
            "city": "Fosston",
            "state": "MN",
            "postal_code": "565421542",
            "country_code": "US",
            "telephone_number": "218-435-1212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Dellwood St S",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MN",
            "postal_code": "550081920",
            "country_code": "US",
            "telephone_number": "763-688-8700",
            "fax_number": "763-688-7921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FILLA",
        "first_name": "WYNONAH",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-20",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "14806",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-15721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mora, MN

Sources for this page

Verify at the official NPI Registry.