MS. MAISY MONICA SANNEMAN (PA-C) – Physician Assistant, NPI 1013105907
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,031 PHYSICIAN ASSISTANT in MN
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Provider Addresses for MS. MAISY MONICA SANNEMAN (PA-C)
Southdale Medical Building, 6525, France Avenue South, Southdale, Edina, Hennepin County, Minnesota, 55435, United States
SUITE 200
EDINA, MN 55435
Phone: (952) 927-6501
Fax: (952) 922-1623
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $819.
Total Amount is formed as General ($819) + Research ($0) + Ownership ($0) = $819.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: COLOPLAST CORP ($202).
Total Amount
$819
General + Research + Ownership
Payments
30
Total payment records
General Amount
$819
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2007-11-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071120000500 | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 105 | 59 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 73 | 51 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 28 | 27 | $0 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 21 | 20 | $0 |
Insurance plans in this area (ZIP 55435)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MN | |
| P A T H O L O G Y | MN | |
| U R O L O G Y | MN | |
| Physician Assistant | MN | |
| Diagnostic Radiology, Interventional Radiology | IA | |
| - | MN | |
| U R O L O G Y | MN | |
| Physician Assistant | MN | |
| U R O L O G Y | MN | |
| U R O L O G Y | MN |
Reviews
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