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

Jaime Evan Glader, PA-C

Individual provider Physician Assistant · NPI 1275834640

Jaime Evan Glader, PA-C is a Physician Assistant in Wyoming, Minnesota. Qualified in 2010, 16 years ago. Licensed in Minnesota and Wisconsin.

Years since qualifying
16
Licensed in
MN, WI
In the registry since
2010
Specialties on file
2
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

5130 Fairview Blvd Ste 100
Wyoming, MN 55092-8050
Phone: (651) 439-8807
Fax: (651) 439-0232
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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 10834 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 2679-023 (WI)

Record details

NPI number1275834640
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 16, 2010
Last updated in NPPESMay 10, 2021
Certification dateMay 10, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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