Individual provider · Type 1 NPI

Krista M. Levisen, PA-C

Physician Assistant · Woodbury, MN

NPI number 1407306004 Active

Practice location

2090 Woodwinds Dr
Woodbury, MN 55125-2522

Fax (651) 968-5903

Mailing address

710 Commerce Dr Ste 200
Woodbury, MN 55125-4925

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2584 (MN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1407306004

Krista M. Levisen, PA-C's National Provider Identifier is 1407306004, issued on Oct 6, 2016. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Woodbury, MN. The record was last updated on Aug 17, 2026.