ANNMARIE ELIZABETH ANDERSON (PA-C) – Physician Assistant, NPI 1104447531
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for ANNMARIE ELIZABETH ANDERSON (PA-C)
8 IOWA ST APT 3M
OAK PARK, IL 603022496
Phone: (507) 382-3305
Type: Mailing
110 N 4TH ST
SAINT PETER, MN 560821917
Phone: (507) 382-3305
Type: Mailing
110 N 4th St
Saint Peter, MN 560821917
Phone: (507) 382-3305
Type: Location
8 Iowa St Apt 3M
Oak Park, IL 603022496
Phone: (507) 382-3305
Type: Location
1700 SAINT FRANCIS AVE
SHAKOPEE, MN 553795582
Phone: (507) 382-3305
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2023-11-17 • Largest payer in this snapshot: Foundation Medical, Llc ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Foundation Medical, Llc | $16 |
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: 2021-08-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20210824003001 | I | Physician Assistant | MN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 54 | 40 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 39 | 24 | $0 |
Insurance plans in this area (ZIP 60302)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiac Electrophysiology | MN | |
| Family Practice | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| - | MN | |
| Internal Medicine | MN | |
| Nurse Practitioner | MN | |
| Family Practice, Emergency Medicine | MN | |
| Internal Medicine | MI | |
| Nurse Practitioner | MN | |
| Orthopedic Surgery | MN |
Reviews
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