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

Individual provider Physician Assistant · NPI 1952865875

Brian Traeger, PA-C is a Physician Assistant in Maple Grove, Minnesota. Qualified in 2018, 8 years ago. Practices with Grand Itasca Clinic and Hospital, a 325-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
8
Licensed in
MN
In the registry since
2019
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

6300 Wedgwood Rd N
Maple Grove, MN 55311-3647
Phone: (763) 551-1215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12946 (MN)

Record details

NPI number1952865875
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 24, 2019
Last updated in NPPESOctober 6, 2022
Certification dateOctober 6, 2022
Mailing address6300 Wedgwood Rd N, Maple Grove, MN 55311-3647

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Grand Itasca Clinic And Hospital — 325 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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