Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Stephen C Wandersee, PA
Physician Assistant in St Paul, MN · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1407822554
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Registry record
Entity type Individual (Type 1)
Name Stephen C Wandersee
Credential PA
Sex Male
Practice address 640 Jackson Street, Mc 11102f, St Paul, MN, 55101
Phone (651) 254-3456
Fax (651) 254-5216
Enumeration date Feb 28, 2006
Last updated in NPPES Mar 24, 2015
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 8866 (MN) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program.
About the PA credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 477448500 | Medicaid | MN | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What specialty is Stephen Wandersee?
Stephen Wandersee is registered in NPPES with the primary taxonomy of Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
Other providers at this practice address
Browse all → Christopher Kaye Physician Assistant · Saint Paul, MN NPI 1003899527 Mohamed Hagi Aden Internal Medicine Physician · St Paul, MN NPI 1093786469 George Dawson Psychiatry Physician · St Paul, MN NPI 1730151911 Janene Hawkins Clinical Psychologist · St Paul, MN NPI 1063485530 Penny Krogmann Clinical Nurse Specialist · St Paul, MN NPI 1215900782 John Kelroy Clinical Psychologist · St Paul, MN NPI 1659344919 Zena Khalil Anatomic Pathology & Clinical Pathology Physician · St Paul, MN NPI 1568435410 Mark Erpelding Internal Medicine Physician · St Paul, MN NPI 1659345445
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-03-24.