Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Michelle Lyn Roof, PA-C

Individual provider Physician Assistant · NPI 1477180321

MS. Michelle Lyn Roof, PA-C is a Physician Assistant in Minneapolis, Minnesota. Qualified in 2019, 7 years ago. Practices with Fairview Health Services, a 678-clinician group and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2020
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

720 Washington Ave SE Ste 300
Minneapolis, MN 55414-2904
Phone: (757) 719-2604
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1477180321
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 23, 2020
Last updated in NPPESMarch 23, 2020
Certification dateMarch 23, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Fairview Health Services — 678 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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