Individual provider Active NPI

Rachel Dawn Miller, PA-C

  • Surgical Physician Assistant
  • Maple Grove, MN
National Provider Identifier
1760678874
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
9825 Hospital Dr Ste 105
Maple Grove, MN 55369-4769
Phone
(763) 780-6699
Fax
(763) 420-0500
NPI assigned
Sep 21, 2007
Last updated
Dec 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X NU Primary

Addresses

Primary practice location

9825 Hospital Dr Ste 105
Maple Grove, MN 55369-4769

Mailing address

9825 Hospital Dr
Suite 105
Maple Grove, MN 55369-4769
Phone (763) 780-6699

Other practice location 1

2600 39th Ave NE
Minneapolis, MN 55421-4379
Phone (763) 780-6699

Other practice location 2

1495 County Road 101 N
Plymouth, MN 55447-3078
Phone (763) 780-6699

Other practice location 3

3366 Oakdale Ave N Ste 200
Robbinsdale, MN 55422-2962
Phone (763) 780-6699

Other practice location 4

480 Osborne Rd NE Ste 100
Fridley, MN 55432-2781
Phone (763) 780-6699

Other practice location 5

5700 Bottineau Blvd Ste 100
Crystal, MN 55429-3184
Phone (763) 780-6699

Other practice location 6

1700 Highway 25 N Ste 120
Buffalo, MN 55313-1930
Phone (763) 780-6699

Other practice location 7

11855 Ulysses St NE Ste 250
Blaine, MN 55434-4182
Phone (763) 780-6699

Other practice location 8

303 Catlin St
Buffalo, MN 55313-1947
Phone (763) 684-6160

Other practice location 9

7600 France Ave S Ste 4100
Edina, MN 55435-6027
Phone (763) 780-6699

Other practice location 10

6565 France Ave S Ste 350
Edina, MN 55435-2159
Phone (763) 780-6699

Other practice location 11

7373 France Ave S Ste 408
Edina, MN 55435-4549
Phone (763) 780-6699

Other practice location 12

15450 Highway 7 Ste 225
Minnetonka, MN 55345-3522
Phone (763) 780-6699

Other names 1

  • Rachel Dawn Wilkerson Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071101000389 MN Practitioner - Physician Assistant 6507953908 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians
Specialists in General Surgery, LTDGroup PAC ID 2466416128, 17 clinicians

Practice addresses (Care Compare)

2925 Chicago Ave
Minneapolis, MN 55407-1321

303 Catlin St
Buffalo, MN 55313-1947

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

9825 Hospital Dr
Maple Grove, MN 55369-4769
Phone (763) 780-6699

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1032MNMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System CurrentSince Feb 9, 2023 Accepting new patients
Hennepin Healthcare System, Inc CurrentSince Mar 1, 2017 Accepting new patients
Allina Health System CurrentSince Sep 1, 2019 Accepting new patients
Hennepin Healthcare System Inc CurrentSince Mar 1, 2017 Accepting new patients
North Memorial Health Care CurrentSince Sep 1, 2014 Accepting new patients
Allina Health System CurrentSince Sep 1, 2019 Accepting new patients
Allina Health System Past Accepting new patients

Locations

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

4181 108th Ave NE
Blaine, MN 55449
Phone (763) 581-0555

303 Catlin St
Buffalo, MN 55313
Phone (763) 682-1212

9825 Hospital Dr
Ste 105
Maple Grove, MN 55369
Phone (763) 383-7818

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

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

480 Osborne Rd NE
Ste 100
Minneapolis, MN 55432
Phone (763) 785-4500

5700 Bottineau Blvd
Ste 100
Minneapolis, MN 55429
Phone (763) 504-6500

701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005

7373 France Ave S
Ste 408
Minneapolis, MN 55435
Phone (952) 831-8228

1013 Hart Blvd
Monticello, MN 55362
Phone (763) 271-2303

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

3366 Oakdale Ave N
Ste 200
Robbinsdale, MN 55422
Phone (763) 287-5000

2600 39th Ave NE
Saint Anthony, MN 55421
Phone (612) 706-2690

Interoperability endpoints

  • Direct secure messaging: rachel.miller@sgs.eclinicaldirectplus.com
  • Direct secure messaging: rmiller92246@excellian.direct.allina.com

Organizations & group practices 12

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

Hospital & facility affiliations 5

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": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1760678874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9825 HOSPITAL DR",
            "address_2": "SUITE 105",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694769",
            "telephone_number": "763-780-6699",
            "fax_number": "763-420-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9825 HOSPITAL DR STE 105",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694769",
            "telephone_number": "763-780-6699",
            "fax_number": "763-420-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 39th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554214379",
            "country_code": "US",
            "telephone_number": "763-780-6699",
            "fax_number": "763-420-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1495 County Road 101 N",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MN",
            "postal_code": "554473078",
            "country_code": "US",
            "telephone_number": "763-780-6699",
            "fax_number": "763-420-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3366 Oakdale Ave N Ste 200",
            "address_purpose": "LOCATION",
            "city": "Robbinsdale",
            "state": "MN",
            "postal_code": "554222962",
            "country_code": "US",
            "telephone_number": "763-780-6699",
            "fax_number": "763-420-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "480 Osborne Rd NE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fridley",
            "state": "MN",
            "postal_code": "554322781",
            "country_code": "US",
            "telephone_number": "763-780-6699",
            "fax_number": "763-420-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5700 Bottineau Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Crystal",
            "state": "MN",
            "postal_code": "554293184",
            "country_code": "US",
            "telephone_number": "763-780-6699",
            "fax_number": "763-420-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Highway 25 N Ste 120",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "MN",
            "postal_code": "553131930",
            "country_code": "US",
            "telephone_number": "763-780-6699",
            "fax_number": "763-420-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11855 Ulysses St NE Ste 250",
            "address_purpose": "LOCATION",
            "city": "Blaine",
            "state": "MN",
            "postal_code": "554344182",
            "country_code": "US",
            "telephone_number": "763-780-6699",
            "fax_number": "763-420-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 Catlin St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "MN",
            "postal_code": "553131947",
            "country_code": "US",
            "telephone_number": "763-684-6160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7600 France Ave S Ste 4100",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554356027",
            "country_code": "US",
            "telephone_number": "763-780-6699",
            "fax_number": "763-420-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6565 France Ave S Ste 350",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554352159",
            "country_code": "US",
            "telephone_number": "763-780-6699",
            "fax_number": "763-420-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7373 France Ave S Ste 408",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554354549",
            "country_code": "US",
            "telephone_number": "763-780-6699",
            "fax_number": "763-420-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15450 Highway 7 Ste 225",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553453522",
            "country_code": "US",
            "telephone_number": "763-780-6699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "RACHEL",
        "middle_name": "DAWN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-21",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "WILKERSON",
            "middle_name": "DAWN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maple Grove, MN

Sources for this page

Verify at the official NPI Registry.