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

Individual provider Physician Assistant · NPI 1447628086

Gina Shults, PA-C is a Physician Assistant in Maplewood, 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

2165 White Bear Ave N
Maplewood, MN 55109
Phone: (651) 523-9800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1200 Lagoon Ave, Minneapolis, MN 55408-2077 — (612) 823-6300

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12006 (MN)

Record details

NPI number1447628086
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 14, 2015
Last updated in NPPESSeptember 14, 2018

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 locations4 on file with Medicare

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