Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Anna Raye Niesen, PA-C

Individual provider Physician Assistant · NPI 1891165692

Anna Raye Niesen, PA-C is a Physician Assistant in Princeton, Minnesota. Qualified in 2015, 11 years ago. Practices with Fairview Clinics, a 806-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
11
Licensed in
MN
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

919 Northland Dr
Princeton, MN 55371-2172
Phone: (763) 389-3344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 290 Main St Nw Ste 100, Elk River, MN 55330-1251 — (763) 241-0373

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2350 (MN)

Record details

NPI number1891165692
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 6, 2015
Last updated in NPPESFebruary 20, 2024
Certification dateFebruary 20, 2024
Mailing address1700 University Ave W Fl 6, Saint Paul, MN 55104-3727

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Fairview Clinics — 806 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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