MS. CHERYL LYNN OELTJENBRUNS (PAC) – Physician Assistant, NPI 1194701102

MS. CHERYL LYNN OELTJENBRUNS (PAC) is a healthcare provider. based in Edina, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. 9323 (MN). The NPI Number for MS. CHERYL LYNN OELTJENBRUNS (PAC) is 1194701102

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
MS. CHERYL LYNN OELTJENBRUNS (PAC)
NPI
1194701102
Phone
(952) 920-7200
Address
3400 W 66TH ST STE 150
Enumeration Date
21 December 2005
Last Update Date
19 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7635880661
Graduation Year
1997 (29 years ago)
PAC ID
5597789602
Group Practice PAC ID
5496668659
Professional Enrollment ID
I20060117000301
Address ID
MN554224215GO4225XRDXX400

Contacts

Secure Messaging
coeltjenbruns168038@direct.northmemorial.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

4,031 PHYSICIAN ASSISTANT in MN

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Provider Addresses for MS. CHERYL LYNN OELTJENBRUNS (PAC)

  • West 66th Street, Normandale Park, Cahill, Edina, Hennepin County, Minnesota, 55439, United States

    EDINA, MN 554352109

    Phone: (952) 920-7200

    Fax: (763) 302-4234

    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 $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2024-05-31 • Largest payer in this snapshot: ABBVIE INC. ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-31

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$23
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: 2006-02-23

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
I20060117000301IPhysician AssistantMNTBD
I20060223000478IPhysician 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
J0585Injection, onabotulinumtoxina, 1 unit10,00019$0
64615Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face5019$0
99214Established patient office or other outpatient visit, 30-39 minutes1414$0
99205New patient office or other outpatient visit, 60-74 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 55435)

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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: 5496668659View full group profile
NameSpecialtyState
N E U R O L O G YMN
N E U R O L O G YMN
-MN
Clinical PsychologistIN
Physician AssistantMN
-MN
N E U R O L O G YMN
Physician AssistantMN
N E U R O L O G YMN
N E U R O L O G YMN

Reviews

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Frequently asked questions

What is the 10-digit NPI for MS. CHERYL LYNN OELTJENBRUNS (PAC)?
MS. CHERYL LYNN OELTJENBRUNS (PAC) — NPI 1194701102 — is the standard way to identify this listing.
Is MS. CHERYL LYNN OELTJENBRUNS (PAC) still practicing?
MS. CHERYL LYNN OELTJENBRUNS (PAC) is currently listed as active in the public NPI registry.
What healthcare role does MS. CHERYL LYNN OELTJENBRUNS (PAC) hold?
Scheduling teams often label MS. CHERYL LYNN OELTJENBRUNS (PAC) under Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does MS. CHERYL LYNN OELTJENBRUNS (PAC) serve?
MS. CHERYL LYNN OELTJENBRUNS (PAC)'s listing highlights Edina, Minnesota; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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