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

Mary L Wangen, PA

Individual provider Physician Assistant · NPI 1760716310

Mary L Wangen, PA is a Physician Assistant in Roseville, Minnesota. Qualified in 2009, 17 years ago. Practices with Allina Health System, a 3,867-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
17
Licensed in
MN
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

2355 Highway 36 W Ste 100
Roseville, MN 55113-3905
Phone: (651) 292-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 4801 W 81st St Ste 108, Bloomington, MN 55437 — (952) 837-9700
  • 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 — (763) 780-9155
  • 701 Park Ave, Minneapolis, MN 55415-1623 — (612) 873-3000
  • 250 Thompson St, Saint Paul, MN 55102-2370 — (651) 292-2000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10887 (MN)

Record details

NPI number1760716310
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 30, 2009
Last updated in NPPESJuly 22, 2021
Certification dateJuly 22, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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