Active NPI
Joseph Aaron Gray Wilkie, PA-C
- Physician Assistant
- Andover, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2425
- Practice address
- 13819 Hanson Blvd NW
Andover, MN 55304-7608 - Phone
- (763) 392-4001
- Fax
- (763) 862-2091
- NPI assigned
- Feb 12, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2425 | MN | Primary |
Addresses
Primary practice location
13819 Hanson Blvd NW
Andover, MN 55304-7608
Mailing address
4209 Cedar Ave S
Apt. 4
Minneapolis, MN 55407-3448
Phone (612) 250-3387
Other practice location 1
1500 Curve Crest Blvd W
Stillwater, MN 55082-6040
Phone (651) 439-1234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1575 Beam Ave
Maplewood, MN 55109-1126
Phone (651) 232-7000
1700 University Ave W
Saint Paul, MN 55104-3727
1875 Woodwinds Dr
Woodbury, MN 55125-2298
Phone (651) 232-6800
1925 Woodwinds Dr
Woodbury, MN 55125-4445
Phone (651) 232-0100
2945 Hazelwood St
Suite 100
Maplewood, MN 55109-1242
Phone (651) 232-7800
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.68 of 100
- Quality
- 89.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.99
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.35 of 100
- Quality
- 91.74
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.13
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12064 | MN | MD | Physical Therapy Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Clinics | Past | Accepting new patients | |
| Fairview Health Services | Past | Accepting new patients |
Locations
13819 Hanson Blvd NW
Andover, MN 55304
Phone (763) 572-5700
15650 Cedar Ave
Apple Valley, MN 55124
Phone (952) 997-4100
14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400
303 E Nicollet Blvd
Ste 160
Burnsville, MN 55337
Phone (952) 460-4000
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
6545 France Ave S
Ste 150
Edina, MN 55435
Phone (952) 848-5600
600 W 98th St
Minneapolis, MN 55420
Phone (952) 881-2651
400 Stinson Blvd
Fl 2
Minneapolis, MN 55413
Phone (612) 672-2203
606 24th Ave S
Ste 700
Minneapolis, MN 55454
Phone (612) 672-2450
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
2270 Ford Pkwy
Ste 200
Saint Paul, MN 55116
Phone (651) 696-5000
2155 Ford Pkwy
Ste A
Saint Paul, MN 55116
Phone (651) 696-5000
1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002
1390 University Ave W
Saint Paul, MN 55104
Phone (651) 232-4800
2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800
1500 Curve Crest Blvd W
Stillwater, MN 55082
1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700
Interoperability endpoints
- jwilkie281492@fairview.direct-ci.com
Organizations & group practices 17
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.
-
dba Fairview Clinics-Hiawatha
- Primary Care Clinic/Center
- Minneapolis, MN
- NPI 1346432218
-
dba HealthEast Vadnais Heights Clinic
- Clinic/Center
- Vadnais Heights, MN
- NPI 1639125503
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
dba HealthPartners Medical Group
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1710924683
-
- Primary Care Clinic/Center
- Saint Paul, MN
- NPI 1396552147
-
dba Fairview Clinics-Andover
- Multi-Specialty Clinic/Center
- Andover, MN
- NPI 1477734705
-
dba M Health Fairview Northland Medical Center
- Hospitalist Physician
- Princeton, MN
- NPI 1013097377
-
dba Fairview Emergency Medical Services
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
-
dba Fairview Northland Hospital
- General Acute Care Hospital
- Princeton, MN
- NPI 1922085299
-
dba HealthPartners Riverside Dental Clinic
- Pediatric Dentistry
- Minneapolis, MN
- NPI 1700932449
-
dba HealthPartners Midway Residency Dental
- General Practice Dentistry
- Saint Paul, MN
- NPI 1952042053
-
dba HealthEast Midway Clinic
- Clinic/Center
- Saint Paul, MN
- NPI 1184670044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1124487624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4209 CEDAR AVE S",
"address_2": "APT. 4",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554073448",
"telephone_number": "612-250-3387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13819 HANSON BLVD NW",
"city": "ANDOVER",
"state": "MN",
"postal_code": "553047608",
"telephone_number": "763-392-4001",
"fax_number": "763-862-2091"
}
],
"practiceLocations": [
{
"address_1": "1500 Curve Crest Blvd W",
"address_purpose": "LOCATION",
"city": "Stillwater",
"state": "MN",
"postal_code": "550826040",
"country_code": "US",
"telephone_number": "651-439-1234",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILKIE",
"first_name": "JOSEPH",
"middle_name": "AARON GRAY",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-12",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "2425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Andover, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.