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

Priscilla Thao

Individual provider Physician Assistant · NPI 1073471389

Priscilla Thao is a Physician Assistant in Cottage Grove, Minnesota. Qualified in 2025, 1 year ago. Licensed in Minnesota.

Years since qualifying
1
Licensed in
MN
In the registry since
2026

Practice location Address checks out

6936 Pine Arbor Dr S
Cottage Grove, MN 55016-4645
Phone: (651) 326-5800
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (MN)

Record details

NPI number1073471389
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 14, 2026
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026
Mailing address2004 Randolph Ave, Saint Paul, MN 55105-1750

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Cottage Grove