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

Heather L Gray, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1598251308

Heather L Gray, PHYSICIANASSISTANT is a Physician Assistant in Stillwater, Minnesota. Qualified in 2018, 8 years ago. Practices with Bluestone Physician Services PA, a 59-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
8
Licensed in
MN, WI
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

270 Main St N Ste 300
Stillwater, MN 55082-6788
Phone: (651) 342-1039
Fax: (651) 342-1428
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 342 N Water St Ste 600, Milwaukee, WI 53202-5715 — (651) 342-1039

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12742 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 4895 (WI)

Record details

NPI number1598251308
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJuly 4, 2018
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025
Mailing address270 Main St N Ste 300, Stillwater, MN 55082-6788

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 Bluestone Physician Services Pa — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Stillwater