Michaela Bertsch, PA-C
Individual provider Active NPI Physician Assistant · Vadnais Heights, MN
NPI 1497375141 · NPPES record last updated Oct 22, 2025
Key facts
- NPI
- 1497375141
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 13721 (MN)
- Practice address
- 3580 Arcade St
Vadnais Heights, MN 55127-7135 - Phone
- (651) 968-5201
- Fax
- (651) 968-5903
- NPI assigned
- Apr 23, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 19
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Summit Orthopedics, LTD
Practice addresses (Care Compare)
1661 Saint Anthony Ave
Saint Paul, MN 55104-3733
Phone (651) 968-5201
2090 Woodwinds Dr
Saint Paul, MN 55125-2522
Phone (651) 968-5201
3580 Arcade St
Vadnais Heights, MN 55127-7135
Phone (651) 968-5201
6050 Sycamore LN N
Plymouth, MN 55442-1402
Phone (651) 968-5201
Hospital & facility affiliations
- M Health Fairview Woodwinds Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210628001889 | MN | Practitioner - Physician Assistant | 0648671784 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13721 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Orthopedics LTD | Current | Accepting new patients | |
| Summit Orthopedics LTD | Current |
Accepting new patients | |
| Summit Orthopedics, LTD. | Current |
Accepting new patients | |
| Ilbnc, P.a. | Past | Accepting new patients |
Locations
1661 Saint Anthony Ave
Saint Paul, MN 55104
Phone (651) 968-5300
3580 Arcade St
Vadnais Heights, MN 55127
Phone (651) 968-5600
3580 Arcade St
Ste 100
Vadnais Heights, MN 55127
710 Commerce Dr
Ste 200
Woodbury, MN 55125
Phone (651) 968-5042
2090 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 968-5801
4123 Radio Dr
Woodbury, MN 55129
Phone (651) 968-5300
Interoperability endpoints
- michaelabertsch@sol.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 13721 | MN | Yes |
Addresses
Primary practice location
3580 Arcade St
Vadnais Heights, MN 55127-7135
Mailing address
710 Commerce Dr Ste 200
Woodbury, MN 55125-4925
Phone (651) 968-5200
Other names
- Michaela Holm
Other providers in Vadnais Heights, MN
- Wayne David Leroy Bentham
- Kristin Bentz
- Emily Dawn Berglund
- Yafet W Berhane
- Abby Katrina Bernstein
- John Bertucci
- Lori Marie Bethke
- Collin Jon Beyer
- Reide T Bibeau-Peper
- Jonathan Biebl
All providers in Vadnais Heights, MN · Physician Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.