Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carson Laatsch, PA

Individual provider Physician Assistant · NPI 1396288056

Carson Laatsch, PA is a Physician Assistant in Stillwater, Minnesota. Qualified in 2016, 10 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
10
Licensed in
MN, WI
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1500 Curve Crest Blvd W
Stillwater, MN 55082-6040
Phone: (651) 439-1234
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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 12922 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 4637-23 (WI)

Record details

NPI number1396288056
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 29, 2016
Last updated in NPPESMarch 2, 2022
Certification dateMarch 2, 2022
Mailing address8170 33rd Ave S # Ms 21110q, Minneapolis, MN 55425-4516

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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