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

Molly Kathleen Hickey, PAC

Individual provider Surgical Physician Assistant · NPI 1598107484

Molly Kathleen Hickey, PAC is a Physician Assistant in Roseville, Minnesota. Qualified in 2013, 13 years ago. Practices with Midwest Radiology PA, a 214-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
13
Licensed in
MN, WI
In the registry since
2013
Specialties on file
3
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

2355 Hwy 36 W Ste 100
Roseville, MN 55113
Phone: (651) 292-2000
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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 11577 (MN)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 3406-23 (WI)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 11577 (MN)

Record details

NPI number1598107484
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedJuly 22, 2013
Last updated in NPPESMarch 13, 2023
Certification dateMarch 13, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Midwest Radiology Pa — 214 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations23 on file with Medicare

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