SARAH RAE ROSSALL (MPA, PA-C) – Physician Assistant, NPI 1154733699
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,031 PHYSICIAN ASSISTANT in MN
Provider Addresses for SARAH RAE ROSSALL (MPA, PA-C)
1155 Ford Rd Ste B
St Louis Park, MN 554261115
Phone: (952) 378-1800
Fax: (952) 378-1714
Type: Location
4027 County Road 25
St Louis Park, MN 55416
Phone: (612) 925-6033
Fax: (612) 925-8496
Type: Location
4240 PARK GLEN RD
ST LOUIS PARK, MN 554165427
Phone: (612) 925-6033
Fax: (612) 925-8496
Type: Mailing
4027 COUNTY ROAD 25
ST LOUIS PARK, MN 55416
Phone: (612) 925-6033
Fax: (612) 925-8496
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $180.
Total Amount is formed as General ($180) + Research ($0) + Ownership ($0) = $180.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Lundbeck LLC ($41).
Total Amount
$180
General + Research + Ownership
Payments
10
Total payment records
General Amount
$180
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lundbeck LLC | $41 |
| E.R. Squibb & Sons, L.L.C. | $36 |
| ABBVIE INC. | $29 |
| Tris Pharma Inc | $28 |
| Vanda Pharmaceuticals Inc. | $18 |
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: 2019-07-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150318002446 | I | Physician Assistant | WI | TBD |
| I20190702001168 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 83 | 21 | $0 |
Insurance plans in this area (ZIP 55426)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| - | MN | |
| Clinical Social Worker | MN | |
| Clinical Social Worker | WI | |
| - | MN | |
| - | MN | |
| - | MN | |
| Clinical Psychologist | MN | |
| Clinical Social Worker | MN | |
| - | MN |
Reviews
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