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

Graham Tyler Virtue, PA-S

Individual provider Physician Assistant · NPI 1326736422

Graham Tyler Virtue, PA-S is a Physician Assistant in Maple Grove, Minnesota. Qualified in 2024, 2 years ago. Practices with Mngi Digestive Health PA, a 277-clinician group, accepts Medicare assignment and offers telehealth.

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

10150 Niagara Ln N # 210
Maple Grove, MN 55369-7588
Phone: (612) 871-1145
Fax: (612) 870-5491
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1326736422
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-S
Sole proprietorNo
NPI enumeratedApril 26, 2023
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024

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 Mngi Digestive Health Pa — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

Other providers in Maple Grove