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

Individual provider Physician Assistant · NPI 1700198199

Laura Elizabeth Willson, PA-C is a Physician Assistant in Saint Paul, Minnesota. Qualified in 2010, 16 years ago. Practices with Fairview Clinics, a 806-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
16
Licensed in
MN
In the registry since
2010
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

1536 Hewitt Ave # MS -C1908
Saint Paul, MN 55104-1284
Phone: (651) 523-2204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14655 Galaxie Ave, Apple Valley, MN 55124-8575 — (952) 432-6161

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1437 (MN)

Record details

NPI number1700198199
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 14, 2010
Last updated in NPPESAugust 28, 2020
Certification dateAugust 28, 2020

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)
Group practice Fairview Clinics — 806 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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