ABRIELLE ANNE MUMM (PA-C) – Physician Assistant, NPI 1215679287
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,031 PHYSICIAN ASSISTANT in MN
Provider Addresses for ABRIELLE ANNE MUMM (PA-C)
8102 COUNTY ROAD 16
PEQUOT LAKES, MN 564722489
Phone:
Type: Mailing
900 LONG LAKE RD STE 150
NEW BRIGHTON, MN 551126414
Phone: (612) 213-2370
Fax: (612) 524-5571
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2023-01-20
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 |
|---|---|---|---|---|
| I20230120001060 | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 207 | 46 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 65 | 62 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 62 | 57 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 33 | 30 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 31 | 28 | $0 |
Insurance plans in this area (ZIP 56472)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MN | |
| - | MN | |
| Physician Assistant | AZ | |
| Physician Assistant | MN | |
| Dermatology, Internal Medicine, Micrographic Dermatologic Surgery (Mds) | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN |
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