KRISTINE LEIGH GEHRMANN (PA-C) – Physician Assistant, NPI 1023364296

KRISTINE LEIGH GEHRMANN (PA-C) is a healthcare provider. based in Champlin, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for KRISTINE LEIGH GEHRMANN (PA-C) is 1023364296

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
KRISTINE LEIGH GEHRMANN (PA-C)
NPI
1023364296
Phone
(952) 977-0500
Address
12142 BUSINESS PARK BLVD N
Enumeration Date
25 July 2012
Last Update Date
29 January 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529932400
Graduation Year
2012 (14 years ago)
PAC ID
8628229374
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20121106000700
Address ID
MN554373934BL5320XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness75
Years active:13State licenses:0Digital endpointsOther names

4,032 PHYSICIAN ASSISTANT in MN

Provider Addresses for KRISTINE LEIGH GEHRMANN (PA-C)

  • 12142 BUSINESS PARK BLVD N

    CHAMPLIN, MN 553164525

    Phone: (952) 977-0500

    Fax: (952) 977-0510

    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)

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: 2012-11-06

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
I20121106000700IPhysician 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample4823$0
99214Established patient office or other outpatient visit, 30-39 minutes3117$0
99215Established patient office or other outpatient visit, 40-54 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 55316)

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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 NPI should I save for KRISTINE LEIGH GEHRMANN (PA-C)?
Save NPI 1023364296 if you need a stable reference for KRISTINE LEIGH GEHRMANN (PA-C).
Is KRISTINE LEIGH GEHRMANN (PA-C) currently active in the NPI registry?
CMS-published data lists KRISTINE LEIGH GEHRMANN (PA-C) as an active registrant.
Can you summarize KRISTINE LEIGH GEHRMANN (PA-C)'s specialty in plain language?
Clinically, the directory lists KRISTINE LEIGH GEHRMANN (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for KRISTINE LEIGH GEHRMANN (PA-C)?
We surface Champlin, Minnesota for KRISTINE LEIGH GEHRMANN (PA-C) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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