ANDREA KROGH (PA-C) – Medical Physician Assistant, NPI 1922018027
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,531 PHYSICIAN ASSISTANT in ID
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Provider Addresses for ANDREA KROGH (PA-C)
PO BOX 565
COTTONWOOD, ID 835220565
Phone: (208) 962-3267
Fax: (208) 962-2313
Type: Mailing
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 838146051
Phone: (208) 962-3251
Fax: (208) 962-2313
Type: Mailing
Saint Mary's Hospital, 701, Lewiston Street, Cottonwood, Idaho County, Idaho, 83522, United States
COTTONWOOD, ID 835220565
Phone: (208) 962-3267
Fax: (208) 962-2313
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-01-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110901000593 | I | Physician Assistant | ID | TBD |
| I20120105000305 | I | Physician Assistant | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 83522)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ID | |
| Family Practice | ID | |
| Diagnostic Radiology | ID | |
| Nurse Practitioner | ID | |
| Diagnostic Radiology | ID | |
| General Surgery | CO | |
| - | ID | |
| - | ID | |
| Nurse Practitioner | ID | |
| Family Practice | ID |
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