KATIE L TANNER (PA) – Physician Assistant, NPI 1225013634
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
496 PHYSICIAN ASSISTANT in ND
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Provider Addresses for KATIE L TANNER (PA)
400, East 3rd Street, Duluth, Saint Louis County, Minnesota, 55805, United States
DULUTH, MN 558051951
Phone:
Type: Mailing
819, Main Street, Lisbon, Ransom County, North Dakota, 58054, United States
LISBON, ND 580544244
Phone: (701) 683-4134
Fax: (701) 683-4094
Type: Location
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 $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2023-11-27 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $16 |
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: 2010-11-16
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 |
|---|---|---|---|---|
| I20101116001131 | I | Physician Assistant | ND | 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 | 434 | 178 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 314 | 152 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 154 | 87 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 149 | 98 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 52 | 52 | $0 |
Insurance plans in this area (ZIP 55805)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | ND | 81002 | Urinalysis, manual test | 24 | 22 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | ND | |
| Interventional Radiology | ND | |
| General Surgery | MN | |
| Nurse Practitioner | ND | |
| Physical Therapist In Private Practice | ND | |
| Nurse Practitioner | ND | |
| Hospitalist, Internal Medicine | ND | |
| Family Practice | ND | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | ND |
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