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

Nicholas Werth, PA-C

Individual provider Physician Assistant · NPI 1306590765

Nicholas Werth, PA-C is a Physician Assistant in Bloomington, Minnesota. Qualified in 2021, 5 years ago. Practices with Fairview Clinics, a 806-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Minnesota.

Years since qualifying
5
Licensed in
AZ, MN
In the registry since
2022
Specialties on file
2
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

600 W 98th St
Bloomington, MN 55420-4773
Phone: (952) 881-2651
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 840 E McKellips Rd Ste 105, Mesa, AZ 85203-9654 — (602) 491-0703

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15233 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 8958 (AZ)

Record details

NPI number1306590765
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 4, 2022
Last updated in NPPESMay 13, 2025
Certification dateMay 13, 2025
Mailing address600 W 98th St, Bloomington, MN 55420-4773

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Fairview Clinics — 806 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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