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

Individual provider Medical Physician Assistant · NPI 1124573423

Tanner John Vanlith, PA-C is a Physician Assistant in Rochester, Minnesota. Qualified in 2016, 10 years ago. Practices with Mayo Clinic, a 4,796-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
10
Licensed in
MN
In the registry since
2016
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

200 1st St SW
Rochester, MN 55905-0001
Phone: (507) 284-2511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 855 Mankato Ave, Winona, MN 55987-4868 — (507) 454-3650

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12266 (MN)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1124573423
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 17, 2016
Last updated in NPPESOctober 9, 2020
Certification dateOctober 9, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Mayo Clinic — 4796 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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