CATHERINE A DEMOSS (D.O., MPH) – General Practice Physician, NPI 1023109659

CATHERINE A DEMOSS (D.O., MPH) is a healthcare provider. based in Minneapolis, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials D.O., MPH. They hold a License No. 37963 (MN). The NPI Number for CATHERINE A DEMOSS (D.O., MPH) is 1023109659

Main info

Female
32 Years Of Experience
Name
CATHERINE A DEMOSS (D.O., MPH)
NPI
1023109659
Phone
(952) 853-8800
Address
8170 33RD AVE S
Enumeration Date
27 September 2006
Last Update Date
17 July 2024

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
7633988888
Graduation Year
1994 (32 years ago)
PAC ID
5294637526
Group Practice PAC ID
2163766973
Professional Enrollment ID
I20040126000603
Address ID
MN554225606RO4080XAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,075 FAMILY PRACTICE in MN

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Provider Addresses for CATHERINE A DEMOSS (D.O., MPH)

  • 33rd Avenue South, Wenonah, Minneapolis, Hennepin County, Minnesota, 55417, United States

    MS21110Q

    MINNEAPOLIS, MN 554254516

    Phone: (952) 853-8800

    Type: Mailing

  • Health Partners Riverside Urgent Care, 2220, Riverside Avenue, Phillips, Minneapolis, Hennepin County, Minnesota, 55454, United States

    HEALTHPARTNERS RIVERSIDE URGENT CARE CLINIC

    MINNEAPOLIS, MN 554541321

    Phone: (952) 853-8800

    Fax: (612) 371-1732

    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: 2004-01-26

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
I20040126000603IFamily 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.

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

Insurance plans in this area (ZIP 55425)

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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: 2163766973View full group profile
NameSpecialtyState
Family PracticeMN
Family PracticeMN

Reviews

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Frequently asked questions

How do I look up CATHERINE A DEMOSS (D.O., MPH) by NPI?
Use NPI 1023109659 when you need to reference CATHERINE A DEMOSS (D.O., MPH) in forms, claims, or directories.
Is CATHERINE A DEMOSS (D.O., MPH)'s NPI currently valid?
The extract we use shows CATHERINE A DEMOSS (D.O., MPH) as active.
What field does CATHERINE A DEMOSS (D.O., MPH) work in?
You can think of CATHERINE A DEMOSS (D.O., MPH) as practicing within General Practice Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for CATHERINE A DEMOSS (D.O., MPH)?
The page summarizes Minneapolis, Minnesota for CATHERINE A DEMOSS (D.O., MPH); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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