ADAM M WENNERSTEN (PA-C) – Physician Assistant, NPI 1568619682
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,031 PHYSICIAN ASSISTANT in MN
Provider Addresses for ADAM M WENNERSTEN (PA-C)
8170 33rd Ave S
Bloomington, MN 554254516
Phone: (877) 440-1001
Type: Location
4325 Grand Ave
Duluth, MN 558072730
Phone: (218) 722-1497
Fax: (218) 722-6239
Type: Location
3600, Tower Avenue, City of Superior, Wisconsin, 54880, United States
SUPERIOR, WI 54880
Phone: (715) 392-1955
Type: Location
2222 E 5TH ST
SUPERIOR, WI 548803709
Phone: (715) 392-1955
Fax: (715) 392-1935
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-05-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090202000263 | I | Physician Assistant | WI | TBD |
| I20130506000081 | I | Physician Assistant | MN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 122 | 77 | $0 |
| 80047 | Blood test, basic group of blood chemicals (calcium, ionized) | 112 | 74 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 60 | 50 | $0 |
| 83036 | Hemoglobin a1c level | 31 | 22 | $0 |
| 81003 | Automated urinalysis test | 14 | 13 | $0 |
Insurance plans in this area (ZIP 55425)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | WI | 85610 | Blood test, clotting time | 203 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | MN | |
| C H I R O P R A C T I C | WI | |
| Nurse Practitioner | WI | |
| - | WI | |
| C H I R O P R A C T I C | MN | |
| Clinical Social Worker | WI | |
| C H I R O P R A C T I C | MN | |
| Family Practice | WI | |
| Family Practice | MN | |
| Physician Assistant | MN |
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