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

Devon M Fisher

Individual provider Physician Assistant · NPI 1669160768

Devon M Fisher is a Physician Assistant in Vadnais Heights, Minnesota. Qualified in 2024, 2 years ago. Practices with Summit Orthopedics, Ltd, a 280-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
2
Licensed in
MN
In the registry since
2023
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Practice location Address checks out

3580 Arcade St
Vadnais Heights, MN 55127-7135
Phone: (651) 968-5201
Fax: (651) 968-5903
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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 15094 (MN)

Record details

NPI number1669160768
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 26, 2023
Last updated in NPPESOctober 7, 2024
Certification dateOctober 7, 2024
Mailing address710 Commerce Dr Ste 200, Woodbury, MN 55125-4925

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Summit Orthopedics, Ltd — 280 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Vadnais Heights