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

Mr. Nathan J Bates, PA-C

Individual provider Surgical Physician Assistant · NPI 1336796739

Mr. Nathan J Bates, PA-C is a Physician Assistant in Willmar, Minnesota. Graduated from Wake Forest University School of Medicine in 2019, 7 years ago. Practices with Centracare Clinic Southwest LLC, a 172-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
7
Trained at
Wake Forest University School of Medicine
Licensed in
MN
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1310 1st St S
Willmar, MN 56201-4242
Phone: (320) 235-6506
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 14491 (MN)

Record details

NPI number1336796739
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 20, 2019
Last updated in NPPESAugust 25, 2023
Certification dateAugust 25, 2023
Mailing address3699 45th Ave Sw, Willmar, MN 56201-9719

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Centracare Clinic Southwest Llc — 172 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare