ANDREW OBERLIN (PA-C) – Physician Assistant, NPI 1821309477

ANDREW OBERLIN (PA-C) is a healthcare provider. based in Iron river, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 1426 TEMP (MN). The NPI Number for ANDREW OBERLIN (PA-C) is 1821309477

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW OBERLIN (PA-C)
NPI
1821309477
Phone
(906) 265-6121
Address
1400 W ICE LAKE RD
Enumeration Date
29 June 2010
Last Update Date
21 October 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9067769040
Graduation Year
2010 (16 years ago)
PAC ID
2961528294
Group Practice PAC ID
8820900749
Professional Enrollment ID
I20140630002145
Address ID
MI498014631IR440XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:15State licenses:3Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for ANDREW OBERLIN (PA-C)

  • 1400 W ICE LAKE RD

    IRON RIVER, MI 499359526

    Phone: (906) 265-6121

    Type: Mailing

  • 1300 W ICE LAKE RD

    IRON RIVER, MI 499358507

    Phone: (906) 265-9189

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $61.

Total Amount is formed as General ($61) + Research ($0) + Ownership ($0) = $61.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Novo Nordisk Inc ($17).

Total Amount

$61

General + Research + Ownership

Payments

4

Total payment records

General Amount

$61

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2014-06-30

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
I20140630002145IPhysician AssistantMITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes2525$0
View full utilization report →

Insurance plans in this area (ZIP 49935)

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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: 8820900749View full group profile
NameSpecialtyState
Family PracticeWI
-WI
Nurse PractitionerWI
Physical Therapist In Private PracticeWI
-WI
-WI
O B S T E T R I C S/ G Y N E C O L O G YWI
Nurse PractitionerWA
Certified Registered Nurse Anesthetist (Crna)WI
Physical Therapist In Private PracticeWI

Reviews

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Frequently asked questions

What is the 10-digit NPI for ANDREW OBERLIN (PA-C)?
ANDREW OBERLIN (PA-C) — NPI 1821309477 — is the standard way to identify this listing.
Is ANDREW OBERLIN (PA-C) listed as active for patients and plans?
The listing shows ANDREW OBERLIN (PA-C) as active in the NPI system.
What taxonomy line describes ANDREW OBERLIN (PA-C)?
For research purposes, treat ANDREW OBERLIN (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What area does ANDREW OBERLIN (PA-C) serve?
ANDREW OBERLIN (PA-C)'s listing highlights Iron River, Michigan; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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