MS. SUSAN ANITA KINATE (PAC) – Physician Assistant, NPI 1881609261

MS. SUSAN ANITA KINATE (PAC) is a healthcare provider. based in Bloomington, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. 3070 (AZ). The NPI Number for MS. SUSAN ANITA KINATE (PAC) is 1881609261

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MS. SUSAN ANITA KINATE (PAC)
NPI
1881609261
Phone
(309) 664-3000
Address
1701 E College Ave
Enumeration Date
31 July 2006
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4803018000
Graduation Year
2004 (22 years ago)
PAC ID
4789629809
Group Practice PAC ID
7012829930
Professional Enrollment ID
I20050620001048
Address ID
AZ852595404SC13400BLVD400
Telehealth
Yes

Contacts

Secure Messaging
sbroquard387502@ehrdirect.mayoclinicmsg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for MS. SUSAN ANITA KINATE (PAC)

  • 1701 E College Ave

    Bloomington, IL 617042101

    Phone: (309) 664-3000

    Type: Location

  • Mayo Clinic Hospital Scottsdale Campus, 13400, East Shea Boulevard, Scottsdale, Maricopa County, Arizona, 85259, United States

    SCOTTSDALE, AZ 852595452

    Phone: (480) 310-8000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $76.

Total Amount is formed as General ($76) + Research ($0) + Ownership ($0) = $76.

Last reported payment date: 2023-11-11 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($76).

Total Amount

$76

General + Research + Ownership

Payments

2

Total payment records

General Amount

$76

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-06-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050620001048IPhysician AssistantAZTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
95004Test for allergy using allergenic extract1,18520$0
95018Test for allergy using combination of methods with drug or biological18736$0
99214Established patient office or other outpatient visit, 30-39 minutes181146$0
95117Professional service for multiple injections of allergen17220$0
99215Established patient office or other outpatient visit, 40-54 minutes6458$0
View full utilization report →

Insurance plans in this area (ZIP 61704)

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Provider's Procedures

MS. SUSAN ANITA KINATE (PAC) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTAZ95117Injection of incremental dosages of allergen, 2 or more injections2414

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012829930View full group profile

Reviews

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Frequently asked questions

Can I cross-check MS. SUSAN ANITA KINATE (PAC) using NPI 1881609261?
NPI 1881609261 belongs to MS. SUSAN ANITA KINATE (PAC); compare other details if you need extra assurance.
Is MS. SUSAN ANITA KINATE (PAC) shown as active in public data?
Registry records indicate MS. SUSAN ANITA KINATE (PAC) maintains an active NPI.
What expertise is attributed to MS. SUSAN ANITA KINATE (PAC)?
MS. SUSAN ANITA KINATE (PAC)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MS. SUSAN ANITA KINATE (PAC)?
Travel planning: use Bloomington, Illinois as the reference point for MS. SUSAN ANITA KINATE (PAC), then confirm.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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