ALYSE HENDERSON – Physician Assistant, NPI 1205498656
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,031 PHYSICIAN ASSISTANT in MN
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Provider Addresses for ALYSE HENDERSON
1103, Main Street, Breckenridge, Wilkin County, Minnesota, 56520, United States
BRECKENRIDGE, MN 565201033
Phone: (701) 866-1719
Type: Mailing
228 E HILLSIDE AVE
FERGUS FALLS, MN 565371291
Phone: (701) 866-1719
Type: Mailing
Lake Region Healthcare, 712, South Cascade Street, Downtown, Fergus Falls, Otter Tail County, Minnesota, 56537, United States
FERGUS FALLS, MN 565372913
Phone: (218) 736-8000
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 $1,676.
Total Amount is formed as General ($1,676) + Research ($0) + Ownership ($0) = $1,676.
Last reported payment date: 2024-01-03 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($1,621).
Total Amount
$1,676
General + Research + Ownership
Payments
10
Total payment records
General Amount
$1,676
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Zimmer Biomet Holdings, Inc. | $1,621 |
| Stryker Corporation | $40 |
| SANOFI-AVENTIS U.S. LLC | $15 |
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: 2019-08-21
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 |
|---|---|---|---|---|
| I20190821001615 | 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 |
|---|---|---|---|---|
| 20610 | Aspiration and/or injection of fluid from large joint | 135 | 85 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 66 | 55 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 58 | 53 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 17 | 17 | $0 |
Insurance plans in this area (ZIP 56520)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MN | |
| Physician Assistant | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| General Surgery | MN | |
| Nurse Practitioner | MN | |
| Family Practice | MN | |
| Cardiovascular Disease (Cardiology), Internal Medicine | MN | |
| C H I R O P R A C T I C | MN | |
| Hematology/Oncology, Internal Medicine | MN | |
| Hospitalist, Internal Medicine | ND |
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