Individual provider Active NPI

Michael G Meyer, PA

  • Physician Assistant
  • Woodbury, MN
National Provider Identifier
1164517181
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10199 Issued in MN
Practice address
6025 Lake Rd Ste 200
Woodbury, MN 55125-1710
Phone
(651) 999-6800
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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 10199 MN Primary
Surgical Physician Assistant 363AS0400X 920 MN

Addresses

Primary practice location

6025 Lake Rd Ste 200
Woodbury, MN 55125-1710

Mailing address

2001 Killebrew Dr
Ste 308
Bloomington, MN 55425-1886
Phone (651) 999-7022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20061020000139 MN Practitioner - Physician Assistant 6608872361 Reassigns benefits to 6 organizations
I20210811001830 WI Practitioner - Physician Assistant 6608872361 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Group Health IncGroup PAC ID 1759293954, 1,627 clinicians
Amery Regional Medical Center IncGroup PAC ID 2769391960, 124 clinicians
Westfields Hospital IncGroup PAC ID 2264490960, 108 clinicians

Practice addresses (Care Compare)

1500 Curve Crest W Blvd
Stillwater, MN 55082-6040
Phone (651) 439-1234

265 Griffin E St
Amery, WI 54001-1439
Phone (715) 268-8000

265 Griffin St E
Amery, WI 54001-1439
Phone (715) 268-8000

403 Stageline Rd
Hudson, WI 54016-7848
Phone (715) 531-6700

405 Stageline Rd
Hudson, WI 54016-7848
Phone (651) 265-1999

411 Stageline Rd
Suite 200
Hudson, WI 54016-7848
Phone (715) 531-6700

535 Hospital Rd
New Richmond, WI 54017-1449
Phone (715) 243-2600

744 E Louisiana St
Saint Croix Falls, WI 54024-9501
Phone (866) 544-6741

8600 Nicollet Ave
Bloomington, MN 55420-2824
Phone (952) 884-1148

Hospital & facility affiliations

  • Westfields Hospital and Clinic Hospital, New Richmond, WI, CCN 521345
  • Amery Hospital & Clinic Hospital, Amery, WI, CCN 521308
  • Lakeview Memorial Hospital Hospital, Stillwater, MN, CCN 240066
  • Hudson Hospital Hospital, Hudson, WI, CCN 521335

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
920MNMDProfessional Counselor
10199MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Clinics CurrentSince Nov 28, 2009 Accepting new patients
Group Health, Inc. CurrentSince Jan 15, 2022 Accepting new patients
Regions Hospital CurrentSince Sep 22, 2009 Accepting new patients
Fairview Express Care CurrentSince Jun 2, 2018 Accepting new patients
Fairview Health Services CurrentSince Feb 21, 2017 Accepting new patients
Infinite Health Collaborative, PA CurrentSince Jul 14, 2011 Accepting new patients
Hudson Hospital, Inc. CurrentSince Jun 7, 2021 Accepting new patients
Group Health, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Westfields Hospital, Inc. CurrentSince Nov 4, 2022 Accepting new patients
Group Health, Inc. CurrentSince Jan 15, 2022 Accepting new patients
Fairview Clinics CurrentSince Nov 28, 2009 Accepting new patients
Fairview Express Care CurrentSince Jun 2, 2018 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Mar 1, 2023 Accepting new patients
Fairview Health Services CurrentSince Feb 21, 2017 Accepting new patients
Amery Regional Medical Center, Inc. Physician Assistant CurrentSince Mar 1, 2023 Accepting new patients
Infinite Health Collaborative, PA CurrentSince Jul 14, 2011 Accepting new patients
Amery Regional Medical Center, Inc. Past Accepting new patients
Group Health, Inc. Past Accepting new patients

Locations

14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

8290 University Ave NE
Ste 200
Fridley, MN 55432
Phone (763) 786-9543

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155

8170 33rd Ave S
Minneapolis, MN 55425
Phone (952) 883-5463

2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

8100 W 78th St
Ste 225
Minneapolis, MN 55439
Phone (952) 210-6765

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

4000 Central Ave NE
Saint Anthony, MN 55421
Phone (763) 572-5700

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

1151 Silver Lake Rd NW
Saint Paul, MN 55112
Phone (612) 706-4500

640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164

2155 Ford Pkwy
Ste A
Saint Paul, MN 55116
Phone (651) 696-5000

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

1500 Curve Crest Blvd W
Stillwater, MN 55082

927 Churchill St W
Stillwater, MN 55082
Phone (651) 430-4529

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

5200 Fairview Blvd
Wyoming, MN 55092
Phone (651) 464-4611

265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301

405 Stageline Rd
Hudson, WI 54016
Phone (715) 531-6000

535 Hospital Rd
New Richmond, WI 54017
Phone (651) 292-2013

744 E Louisiana St
St Croix Fls, WI 54024
Phone (651) 772-6251

Organizations & group practices 22

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 22

Hospital & facility affiliations 8

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1164517181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 KILLEBREW DR",
            "address_2": "STE 308",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251886",
            "telephone_number": "651-999-7022",
            "fax_number": "651-999-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 LAKE RD STE 200",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251710",
            "telephone_number": "651-999-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "10199",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MN",
            "license": "920",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

Verify at the official NPI Registry.