PAIGE DETERS (PA-C) – Physician Assistant, NPI 1154970572
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,032 PHYSICIAN ASSISTANT in MN
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Provider Addresses for PAIGE DETERS (PA-C)
Rejuv Fitness, 901, 3rd Street North, Waite Park, Stearns County, Minnesota, 56387, United States
WAITE PARK, MN 563871964
Phone: (320) 352-8475
Fax: (320) 217-8490
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)
CMS reports 2 Open Payments records for all available years, with a total value of $29.
Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.
Last reported payment date: 2024-07-24 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($15).
Total Amount
$29
General + Research + Ownership
Payments
2
Total payment records
General Amount
$29
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $15 |
| Astellas Pharma US Inc | $14 |
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: 2019-11-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191113002639 | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 96 | 44 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 81 | 40 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 33 | 28 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 25 | 22 | $0 |
Insurance plans in this area (ZIP 56387)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| C H I R O P R A C T I C | MN | |
| Physical Therapist In Private Practice | MN | |
| Physical Therapist In Private Practice | MN | |
| C H I R O P R A C T I C | MN | |
| Physical Therapist In Private Practice | MN | |
| Nurse Practitioner | MN | |
| Physical Therapist In Private Practice | MN | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN | |
| Physical Therapist In Private Practice | MN |
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