Tara Michelle Wyley
Physician Assistant · Lakeville, MN
Tara Michelle Wyley is a physician assistant with a practice address in Lakeville, Minnesota, and NPI 1073320602, issued on Dec 17, 2024. Check the license (Minnesota 15219, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Tara Michelle Wyley
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 15219 MN
Self-reported in NPPES; status is on the state search - Practice location
- 17489 Dodd Blvd, Lakeville, MN 55044
- Phone
- (952) 428-1020
- Enumerated
- Dec 17, 2024
- Record last updated
- Mar 21, 2025
- Medicare enrollment
- Enrolled (PECOS I20250221002413); accepts Medicare assignment
- Medical or professional school
- Creighton University School Of Medicine, 2024
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 4,007 in Minnesota → Look up another NPI →
Also registered at 17489 Dodd Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Sydney O'Neal, PA-CPhysician Assistant1104529338
- Nicole Poganski, PA-CPhysician Assistant1467142372
Verify Tara Michelle Wyley in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license 15219Check 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
- Allina Health SystemLakeville, MN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Tara Michelle Wyley among 4,007 physician assistant records in Minnesota
Tara Michelle Wyley 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
- Graduated2024 · median 2017 among the 3,131 with a school on file
- Record last updated2025 · 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).
28 physician assistant records list a practice address in Lakeville
They are 28 of the 793 NPPES records with a practice address in Lakeville, and 4,007 physician assistant records in Minnesota.
All 4,007 in Minnesota → Every provider in Lakeville → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Rose Carlson, PALakeville, MN 550441225670607
- Robbin Ghere, PA-CLakeville, MN 550441821276148
- Heather Guertin, PALakeville, MN 550441265968374
- Seth HavensLakeville, MN 550441831846757
- Claire Johnson, PA-CLakeville, MN 550441649897133
- Lisa Kippley, PA-CLakeville, MN 550441831656396
- Ami Komlanvi, PA-CLakeville, MN 550441265874366
- Jennifer Krieg, PALakeville, MN 550441265469647
Common questions
What is Tara Michelle Wyley's NPI number?
Tara Michelle Wyley's National Provider Identifier (NPI) is 1073320602, issued on Dec 17, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Tara Michelle Wyley located?
The NPPES record lists a practice address at 17489 Dodd Blvd, Lakeville, MN, 55044. Phone: (952) 428-1020. Providers update this record themselves, so call before visiting.
How can I verify Tara Michelle Wyley's license?
NPPES lists Minnesota license number 15219, as entered by the provider. 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.