STEPHANIE ANNE PICKTHORN – Family Medicine Physician, NPI 1972162519

STEPHANIE ANNE PICKTHORN is a healthcare provider. based in Iowa city, Iowa. specializing in FAMILY PRACTICE. They hold a License No. R-11481 (IA). The NPI Number for STEPHANIE ANNE PICKTHORN is 1972162519

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE ANNE PICKTHORN
NPI
1972162519
Phone
(507) 676-3720
Address
200 HAWKINS DR DEPT FAMILY
Enumeration Date
7 June 2019
Last Update Date
25 July 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
9529933123
Graduation Year
2019 (7 years ago)
PAC ID
7113253774
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20221005003345
Address ID
MN554162527ST3850XBLVD400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:7State licenses:2Digital endpointsOther names

1,656 FAMILY PRACTICE in IA

Provider Addresses for STEPHANIE ANNE PICKTHORN

  • 200 HAWKINS DR DEPT FAMILY

    IOWA CITY, IA 522421009

    Phone: (507) 676-3720

    Type: Mailing

  • 8170 33RD AVE S # MS 21110Q

    BLOOMINGTON, MN 554254516

    Phone: (952) 993-8300

    Type: Mailing

  • 8401 GOLDEN VALLEY RD

    GOLDEN VALLEY, MN 554274486

    Phone: (952) 993-8300

    Fax: (952) 993-8331

    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: 2022-10-05

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
I20221005003345IFamily PracticeMNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes11773$0
36415Insertion of needle into vein for collection of blood sample7942$0
99213Established patient office or other outpatient visit, 20-29 minutes4835$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2424$0
85027Complete blood cell count (red cells, white blood cell, platelets), automated test2015$0
View full utilization report →

Insurance plans in this area (ZIP 52242)

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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: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physician AssistantMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

What unique ID ties claims to STEPHANIE ANNE PICKTHORN?
NPI 1972162519 is assigned to STEPHANIE ANNE PICKTHORN under the national enumeration system.
Is STEPHANIE ANNE PICKTHORN active in the national directory?
STEPHANIE ANNE PICKTHORN's public NPI profile is in an active state.
Does STEPHANIE ANNE PICKTHORN list a primary specialty?
If you are matching referrals, note Family Medicine Physician for STEPHANIE ANNE PICKTHORN. Clinical services aligned with this taxonomy classification.
Where is STEPHANIE ANNE PICKTHORN's primary listing?
We display Iowa City, Iowa because that is what the record indicates for STEPHANIE ANNE PICKTHORN.
Is STEPHANIE ANNE PICKTHORN a real provider?
This page reflects official NPPES data for NPI 1972162519. Always confirm identity and privileges with the practice and licensing boards.

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