TAMMY GREGERSON (P.A.-C) – Physician Assistant, NPI 1629122767

TAMMY GREGERSON (P.A.-C) is a healthcare provider. based in Crystal, Minnesota. specializing in Physician Assistant. They hold the professional credentials P.A.-C. They hold a License No. 945 (MN). The NPI Number for TAMMY GREGERSON (P.A.-C) is 1629122767

Main info

Female
Name
TAMMY GREGERSON (P.A.-C)
NPI
1629122767
Phone
(763) 504-6500
Address
5502 W BROADWAY AVE
Enumeration Date
23 January 2007
Last Update Date
15 October 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for TAMMY GREGERSON (P.A.-C)

  • 5502, West Broadway Avenue, Crystal, Hennepin County, Minnesota, 55428, United States

    CRYSTAL, MN 554283508

    Phone: (763) 504-6500

    Fax: (763) 504-6544

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55428)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I verify TAMMY GREGERSON (P.A.-C) with an NPI only?
You can start verification with NPI 1629122767 for TAMMY GREGERSON (P.A.-C), then check state licensing separately.
Is TAMMY GREGERSON (P.A.-C) still practicing?
TAMMY GREGERSON (P.A.-C) is currently listed as active in the public NPI registry.
What is TAMMY GREGERSON (P.A.-C)'s primary classification?
Physician Assistant is the headline specialty for TAMMY GREGERSON (P.A.-C) here. Clinical services aligned with this taxonomy classification.
Does TAMMY GREGERSON (P.A.-C) list a practice location?
Patients near Crystal, Minnesota may find TAMMY GREGERSON (P.A.-C) in results; validate coverage separately.
Why does TAMMY GREGERSON (P.A.-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

4725 36TH AVE N
NPI: 1154315133

CYNTHIA S JANSEN (PAC)

Physician Assistant
36th Avenue North, Crystal, Hennepin County, Minnesota, 55422, United States
NPI: 1457335044

MICHELLE RENEE WARK (PAC)

Physician Assistant
Voyage Healthcare, 5109, 36th Avenue North, Crystal, Hennepin County, Minnesota, 55422, United States
NPI: 1952330581

HEATHER SMITH

Physician Assistant
36th Avenue North, Crystal, Hennepin County, Minnesota, 55422, United States
NPI: 1992038236

ADAM ROBERT HETZ (PAC)

Physician Assistant
4725 36TH AVE N
NPI: 1205107422

LISA LEGVOLD (PA-C)

Physician Assistant
710 DIVISION ST S
NPI: 1518357102

LISA LAPOINTE (PA-C)

Physician Assistant
Voyage Healthcare, 5109, 36th Avenue North, Crystal, Hennepin County, Minnesota, 55422, United States
NPI: 1376054593
Bottineau Boulevard, Crystal, Hennepin County, Minnesota, 55369, United States
NPI: 1922514181