Avery Grace Macintosh
Physician Assistant · Mahtomedi, MN
Avery Grace Macintosh is a physician assistant with a practice address in Mahtomedi, Minnesota, and NPI 1609633510, issued on Mar 6, 2024. Check the license with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Avery Grace Macintosh
- Primary taxonomy
- Physician Assistant 363A00000X
- Practice location
- 1040 Summit Ave, Mahtomedi, MN 55115
- Phone
- (651) 815-3171
- Enumerated
- Mar 6, 2024
- Record last updated
- Mar 6, 2024
- Medicare enrollment
- Enrolled (PECOS I20260209003611); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 4,007 in Minnesota → Look up another NPI →
Verify Avery Grace Macintosh in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this professionCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Dermatology Associates OF Siouxland PCSioux City, IA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Avery Grace Macintosh among 4,007 physician assistant records in Minnesota
Avery Grace Macintosh is one of 4,007 physician assistant records with a practice address in Minnesota. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2024, is newer than 91% of them.
- NPI issued2024 · 91% of these records are older, 5% newer
- In a Medicare fileYes · 85% of these records are
- In the CMS Doctors and Clinicians fileYes · 78% of these records are
- Graduated2025 · median 2017 among the 3,131 with a school on file
- Record last updated2024 · 40% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
2 physician assistant records list a practice address in Mahtomedi
They are 2 of the 60 NPPES records with a practice address in Mahtomedi, and 4,007 physician assistant records in Minnesota.
All 4,007 in Minnesota → Every provider in Mahtomedi → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Alexander VoytovichMahtomedi, MN 551151215691977
- Krystal Butcher, PASaint Paul, MN 551161356618359
- Raegan Crawford, PA-CSaint Paul, MN 551141942030390
- Mariah CroppSaint Paul, MN 551141073035952
- Sydney Crowley, PA-CSaint Paul, MN 551141851987499
- Gina Dahlin, PA-CSaint Paul, MN 551141235109356
- Melissa Fagen, P.A.-CSaint Paul, MN 551161841210648
- Rachael Foster, PA-CSaint Paul, MN 551161184254195
Common questions
What is Avery Grace Macintosh's NPI number?
Avery Grace Macintosh's National Provider Identifier (NPI) is 1609633510, issued on Mar 6, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Avery Grace Macintosh located?
The NPPES record lists a practice address at 1040 Summit Ave, Mahtomedi, MN, 55115. Phone: (651) 815-3171. Providers update this record themselves, so call before visiting.
How can I verify Avery Grace Macintosh's license?
Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.