Victoria Jo Wacholz, PA-C
NPI 1255916417ActiveIndividual· Physician Assistant· Eden Prairie, MN
Physician Assistant (PA-C) with Allina Health System and 1 other group, practicing in Eden Prairie, Minnesota. 110 Medicare patients in 2024, $12,292 paid; nearly all of their 195 Part D prescriptions were generic (91%). Lists Abbott Northwestern Hospital and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1255916417 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Mar 9, 2021 |
| Last updated in NPPES | Mar 13, 2026 |
| Certified by provider | Mar 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 14269 | MN |
| Physician Assistant | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 110 |
|---|---|
| Services billed | 763 across 66 procedure codes |
| Paid by Medicare | $12,292 |
Part D prescriptions in 2024
| Prescriptions (claims) | 195 · 198 30-day fills |
|---|---|
| Patients | 138 |
| Total drug cost | $1,891 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Allina Health SystemNew Ulm, MN · 3,842 clinicians
- Emergency Physicians Professional AssociationBloomington, MN · 282 clinicians
Hospital affiliations
- Abbott Northwestern HospitalMinneapolis, MN
- Allina United HospitalSaint Paul, MN
- M Health Fairview Ridges HospitalBurnsville, MN
- M Health Fairview Southdale HospitalEdina, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Eden Prairie
- 1649871864
- 1780054254
- 1841839677
- 1932882651
- 1982250197
- 1144240078
- 1003968900
- 1063535110
- 1225783897
- 1275022618
- 1356805618
- 1427701986
All 31 physician assistants in Eden Prairie · All physician assistants in Minnesota