CHERYL D HALLSTED (PA) – Surgical Physician Assistant, NPI 1003890989

CHERYL D HALLSTED (PA) is a healthcare provider. based in Mankato, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 9980 (MN). The NPI Number for CHERYL D HALLSTED (PA) is 1003890989

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
CHERYL D HALLSTED (PA)
NPI
1003890989
Phone
(507) 625-4031
Address
1025 MARSH ST
Enumeration Date
3 December 2005
Last Update Date
11 December 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9528922000
Graduation Year
2003 (23 years ago)
PAC ID
1658341078
Group Practice PAC ID
3375645179
Professional Enrollment ID
I20050321000068
Address ID
MN553375714BU201XXBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,031 PHYSICIAN ASSISTANT in MN

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Provider Addresses for CHERYL D HALLSTED (PA)

  • Mayo Clinic Health System, 1025, Marsh Street, High Ciara, Mankato, Blue Earth County, Minnesota, 56001, United States

    MANKATO, MN 560014752

    Phone: (507) 625-4031

    Type: Mailing

  • Marsh Street, Mankato, Blue Earth County, Minnesota, 56001, United States

    MANKATO, MN 560015294

    Phone: (507) 389-4700

    Type: Location

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 $62.

Total Amount is formed as General ($62) + Research ($0) + Ownership ($0) = $62.

Last reported payment date: 2023-11-30 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($62).

Total Amount

$62

General + Research + Ownership

Payments

1

Total payment records

General Amount

$62

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-30

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: 2005-03-21

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
I20050321000068IPhysician AssistantMNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56001)

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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: 3375645179View full group profile
NameSpecialtyState
P A T H O L O G YMN
G A S T R O E N T E R O L O G YMN
N E U R O S U R G E R YOH
-MN
Physician AssistantMN
-MN
-MN
Physical Therapist In Private PracticeOR
Cardiovascular Disease (Cardiology)IL
Family PracticeIL

Reviews

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Frequently asked questions

What is CHERYL D HALLSTED (PA)'s NPI number?
CHERYL D HALLSTED (PA)'s NPI is 1003890989 — the number used across U.S. healthcare to identify this provider.
Is there an active status for CHERYL D HALLSTED (PA)?
For scheduling context, CHERYL D HALLSTED (PA) is shown as active in the registry.
What clinical focus is listed for CHERYL D HALLSTED (PA)?
At a glance, CHERYL D HALLSTED (PA) is tied to Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for CHERYL D HALLSTED (PA)?
Travel planning: use Mankato, Minnesota as the reference point for CHERYL D HALLSTED (PA), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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