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

Mitchell J Mimbach, PA

Individual provider Physician Assistant · NPI 1013528900

Mitchell J Mimbach, PA is a Physician Assistant in Crosby, Minnesota. Qualified in 2020, 6 years ago. Practices with Aitkin Community Hospital Inc, a 96-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2020
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

320 E Main St
Crosby, MN 56441
Phone: (218) 546-7000
Fax: (218) 546-4400
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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 13451 (MN)

Record details

NPI number1013528900
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 13, 2020
Last updated in NPPESMay 11, 2021
Certification dateMay 11, 2021
Mailing address320 East Main St, Crosby, MN 56441

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Aitkin Community Hospital Inc — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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