AUSTIN JAMES HENEMAN (PA-C) – Physician Assistant, NPI 1093191777

AUSTIN JAMES HENEMAN (PA-C) is a healthcare provider. based in Monticello, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 11882 (MN). The NPI Number for AUSTIN JAMES HENEMAN (PA-C) is 1093191777

Main info

Male
11 Years Of Experience
Name
AUSTIN JAMES HENEMAN (PA-C)
NPI
1093191777
Phone
(651) 633-6883
Address
9766 Fallon Ave NE Ste 102
Enumeration Date
5 August 2015
Last Update Date
4 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6516336883
Graduation Year
2015 (11 years ago)
PAC ID
5395050561
Group Practice PAC ID
8123288156
Professional Enrollment ID
I20150817002736
Address ID
MN551131306RO2770XNXXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Digital endpointsOther names

4,031 PHYSICIAN ASSISTANT in MN

Provider Addresses for AUSTIN JAMES HENEMAN (PA-C)

  • 9766 Fallon Ave NE Ste 102

    Monticello, MN 553624589

    Phone: (651) 633-6883

    Fax: (651) 331-3459

    Type: Location

  • 7225 OHMS LN STE 150

    EDINA, MN 554392172

    Phone: (952) 841-2345

    Fax: (952) 841-2346

    Type: Mailing

  • 7270 FORESTVIEW LN N STE 100

    MAPLE GROVE, MN 55369

    Phone: (952) 841-2345

    Fax: (952) 841-2346

    Type: Location

  • 2720 FAIRVIEW AVE N STE 200

    ROSEVILLE, MN 551131306

    Phone: (651) 633-6883

    Fax: (651) 331-3459

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 67 Open Payments records for all available years, with a total value of $3,538.

Total Amount is formed as General ($3,538) + Research ($0) + Ownership ($0) = $3,538.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Boston Scientific Corporation ($1,006).

Total Amount

$3,538

General + Research + Ownership

Payments

67

Total payment records

General Amount

$3,538

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

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: 2025-12-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20150817002736IPhysician AssistantMNTBD
I20251204004529IPhysician AssistantWITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes813137$0
80307Testing for presence of drug, by chemistry analyzers15596$0
G0481Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms11775$0
99213Established patient office or other outpatient visit, 20-29 minutes3326$0
95972Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming2619$0
View full utilization report →

Insurance plans in this area (ZIP 55362)

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Provider's Procedures

AUSTIN JAMES HENEMAN (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTMN27447Repair of knee joint1414

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: 8123288156View full group profile
NameSpecialtyState
D E R M A T O L O G YMN
Physician AssistantMN
D E R M A T O L O G YMN
Physician AssistantMN
P O D I A T R YWI
Physician AssistantMN
P A T H O L O G YIL
Physician AssistantMN
P A T H O L O G YCT
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

What federal number belongs to AUSTIN JAMES HENEMAN (PA-C)?
The federal identifier for AUSTIN JAMES HENEMAN (PA-C) is NPI 1093191777.
Is AUSTIN JAMES HENEMAN (PA-C) currently active in the NPI registry?
CMS-published data lists AUSTIN JAMES HENEMAN (PA-C) as an active registrant.
What does AUSTIN JAMES HENEMAN (PA-C) treat or focus on?
Patients typically see AUSTIN JAMES HENEMAN (PA-C) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for AUSTIN JAMES HENEMAN (PA-C)?
We surface Monticello, Minnesota for AUSTIN JAMES HENEMAN (PA-C) based on available NPPES addresses.
Is AUSTIN JAMES HENEMAN (PA-C) a real provider?
This page reflects official NPPES data for NPI 1093191777. Always confirm identity and privileges with the practice and licensing boards.

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