ALESSANDRA PANTANO ORTHEY (PA) – Physician Assistant, NPI 1083296123

ALESSANDRA PANTANO ORTHEY (PA) is a healthcare provider. based in Edina, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA62623 (CA). The NPI Number for ALESSANDRA PANTANO ORTHEY (PA) is 1083296123

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
ALESSANDRA PANTANO ORTHEY (PA)
NPI
1083296123
Phone
(612) 600-8761
Address
3945 MARKET ST UNIT 226
Enumeration Date
27 April 2021
Last Update Date
17 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6517589500
Graduation Year
2021 (5 years ago)
PAC ID
7113360082
Group Practice PAC ID
0042109258
Professional Enrollment ID
I20240223001052
Address ID
MN551023828SA1026XWXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

4,031 PHYSICIAN ASSISTANT in MN

Provider Addresses for ALESSANDRA PANTANO ORTHEY (PA)

  • 3945 MARKET ST UNIT 226

    EDINA, MN 554240016

    Phone: (612) 600-8761

    Type: Mailing

  • 4325 CHOWEN AVE S UNIT 1

    MINNEAPOLIS, MN 554101303

    Phone: (612) 600-8761

    Type: Mailing

  • 1026 7TH ST W

    SAINT PAUL, MN 551023828

    Phone: (651) 758-9500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $119.

Total Amount is formed as General ($119) + Research ($0) + Ownership ($0) = $119.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($93).

Total Amount

$119

General + Research + Ownership

Payments

8

Total payment records

General Amount

$119

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2024-02-23

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
I20240223001052IPhysician 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 55424)

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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: 0042109258View full group profile
NameSpecialtyState
Certified Nurse Midwife (Cnm)MN
Nurse PractitionerMN
Nurse PractitionerMN
-MN
Certified Nurse Midwife (Cnm)MN
Family PracticeMN
Clinical PsychologistMN
Physician AssistantMN
Physician AssistantMN
Cardiovascular Disease (Cardiology)MN

Reviews

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Frequently asked questions

What is the 10-digit NPI for ALESSANDRA PANTANO ORTHEY (PA)?
ALESSANDRA PANTANO ORTHEY (PA) — NPI 1083296123 — is the standard way to identify this listing.
Is ALESSANDRA PANTANO ORTHEY (PA) listed as active for patients and plans?
The listing shows ALESSANDRA PANTANO ORTHEY (PA) as active in the NPI system.
What taxonomy line describes ALESSANDRA PANTANO ORTHEY (PA)?
For research purposes, treat ALESSANDRA PANTANO ORTHEY (PA) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where is ALESSANDRA PANTANO ORTHEY (PA) based?
ALESSANDRA PANTANO ORTHEY (PA) is tied to Edina, Minnesota in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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