MARICIA JOY PRONK (PA-C) – Physician Assistant, NPI 1194122713

MARICIA JOY PRONK (PA-C) is a healthcare provider. based in Pipestone, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 11748 (MN). The NPI Number for MARICIA JOY PRONK (PA-C) is 1194122713

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
MARICIA JOY PRONK (PA-C)
NPI
1194122713
Phone
(507) 825-5811
Address
916 4TH AVE SW
Enumeration Date
25 November 2014
Last Update Date
8 October 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5078255811
Graduation Year
2014 (12 years ago)
PAC ID
9335465715
Group Practice PAC ID
0840109682
Professional Enrollment ID
I20150302001138
Address ID
MN561641890PI916XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

4,031 PHYSICIAN ASSISTANT in MN

Provider Addresses for MARICIA JOY PRONK (PA-C)

  • 916 4TH AVE SW

    PIPESTONE, MN 561641890

    Phone: (507) 825-5811

    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 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2023-11-10 • Largest payer in this snapshot: Abbott Laboratories ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$20
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: 2015-03-02

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
I20150302001138IPhysician 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 56164)

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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: 0840109682View full group profile
NameSpecialtyState
Physician AssistantSD
-MN
-ND
Family PracticeMN
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerSD
Family PracticeCO
Internal Medicine, Neuropsychiatry, HospitalistIN
Certified Registered Nurse Anesthetist (Crna)SD

Reviews

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Frequently asked questions

What is MARICIA JOY PRONK (PA-C)'s NPI number?
MARICIA JOY PRONK (PA-C)'s NPI is 1194122713 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to MARICIA JOY PRONK (PA-C)?
You should see MARICIA JOY PRONK (PA-C) as active in CMS-hosted NPPES data.
What kind of doctor is MARICIA JOY PRONK (PA-C)?
MARICIA JOY PRONK (PA-C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Where in Minnesota is MARICIA JOY PRONK (PA-C) registered?
Use Pipestone, Minnesota as the headline location for MARICIA JOY PRONK (PA-C) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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