Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole D Silloway, PA-C

Individual provider Physician Assistant · NPI 1386636553

Nicole D Silloway, PA-C is a Physician Assistant in Maplewood, Minnesota. Qualified in 1998, 28 years ago. Practices with Minuteclinic Diagnostic of Minnesota PA, a 86-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and Wisconsin.

Years since qualifying
28
Licensed in
MN, WI
In the registry since
2005
Specialties on file
4
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

2165 White Bear Ave N
Maplewood, MN 55109-2707
Phone: (651) 523-9800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7200 Valley Creek Plaza, Woodbury, MN 55125-2265 — (651) 735-7083

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence 9401 (MN)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 9401 (MN)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 1954 (WI)

Record details

NPI number1386636553
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 16, 2005
Last updated in NPPESNovember 4, 2025
Certification dateNovember 4, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Minuteclinic Diagnostic Of Minnesota Pa — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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