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

Individual provider Physician Assistant · NPI 1427413590

Stephanie Clark, PA-C is a Physician Assistant in Bloomington, Minnesota. Graduated from Midwestern University, Chicago College of Osteopathic Med in 2015, 11 years ago. Practices with Allina Health System, a 3,867-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in California and Minnesota.

Years since qualifying
11
Trained at
Midwestern University, Chicago College of Osteopathic Med
Licensed in
CA, MN
In the registry since
2015
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

7920 Old Cedar Ave S
Bloomington, MN 55425-1207
Phone: (952) 428-1800
Fax: (952) 428-1723
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 369 San Miguel Dr, Newport Beach, CA 92660-7818 — (949) 439-9288
  • 369 San Miguel Dr, Newport Beach, CA 92660-7818 — (949) 439-9288
  • 1125 E 17th St Ste W248, Santa Ana, CA 92701 — (714) 547-5151

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14465 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 52997 (CA)

Record details

NPI number1427413590
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 16, 2015
Last updated in NPPESDecember 5, 2025
Certification dateDecember 5, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 2015 (11 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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