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

Tara Michelle Wyley

Individual provider Physician Assistant · NPI 1073320602

Tara Michelle Wyley is a Physician Assistant in Lakeville, Minnesota. Graduated from Creighton University School of Medicine in 2024, 2 years ago. Practices with Allina Health System, a 3,867-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
2
Trained at
Creighton University School of Medicine
Licensed in
MN
In the registry since
2024
Specialties on file
2

Practice location Address checks out

17489 Dodd Blvd
Lakeville, MN 55044-6506
Phone: (952) 428-1020
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15219 (MN)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1073320602
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 17, 2024
Last updated in NPPESMarch 21, 2025
Certification dateMarch 21, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Lakeville