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Erica Bohlke Wagner, P.A.

NPI 1053810846ActiveIndividual· Physician Assistant, Medical· Eagan, MN

Physician Assistant, Medical (P.A.) with Fairview Clinics, practicing in Eagan, Minnesota. Their prescriptions cost Medicare Part D more than their services did: $35,242 for 587 claims, against $12,050 paid for services in 2024. Lists M Health Fairview Ridges Hospital as a hospital affiliation.

Overview

NPI1053810846
StatusActive
Entity typeIndividual
CredentialP.A.
Sole proprietorYes
NPI issuedFeb 7, 2018
Last updated in NPPESOct 30, 2023
Certified by providerOct 30, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant, Medical Primary363AM0700X12588MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (MN)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients128
Services billed357 across 59 procedure codes
Paid by Medicare$12,050

Part D prescriptions in 2024

Prescriptions (claims)587 · 996 30-day fills
Patients293
Total drug cost$35,242
Generic share88% of claims

Medicare sources and data years

Education and affiliations

Graduation year2017
Medicare specialtyPhysician Assistant
TelehealthOffers telehealth

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant, Medical providers in Eagan

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