JOSEPH MATHEW FORTIER (PA-C) – Physician Assistant, NPI 1235623455

JOSEPH MATHEW FORTIER (PA-C) is a healthcare provider. based in Saint cloud, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 4375-23 (WI). The NPI Number for JOSEPH MATHEW FORTIER (PA-C) is 1235623455

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
JOSEPH MATHEW FORTIER (PA-C)
NPI
1235623455
Phone
(320) 259-4100
Address
3315 Roosevelt Rd Ste 200B
Enumeration Date
20 June 2018
Last Update Date
8 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3202594100
Graduation Year
2018 (8 years ago)
PAC ID
0143579672
Group Practice PAC ID
0143113951
Professional Enrollment ID
I20181105002073
Address ID
MN563772554SA1901XSXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:7State licenses:2Digital endpointsOther names

4,031 PHYSICIAN ASSISTANT in MN

Provider Addresses for JOSEPH MATHEW FORTIER (PA-C)

  • 3315 Roosevelt Rd Ste 200B

    Saint Cloud, MN 563019687

    Phone: (320) 259-4100

    Fax: (320) 259-8044

    Type: Location

  • Connecticut Avenue South, Sartell, Stearns County, Minnesota, 56303, United States

    SARTELL, MN 56377

    Phone: (320) 259-4100

    Fax: (320) 257-5523

    Type: Location

  • Lakeview Heights Road, Tallapoosa County, Alabama, 36861, United States

    PINE CITY, MN 550635363

    Phone: (320) 469-2493

    Type: Mailing

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 $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-03-23 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-23

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2018-11-05

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
I20180816002598IPhysician AssistantWITBD
I20181105002073IPhysician 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes5452$0
99203New patient office or other outpatient visit, 30-44 minutes4747$0
73562X-ray of knee, 3 views3026$0
20610Aspiration and/or injection of fluid from large joint2424$0
J1030Injection, methylprednisolone acetate, 40 mg1616$0
View full utilization report →

Insurance plans in this area (ZIP 56301)

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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: 0143113951View full group profile
NameSpecialtyState
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Occupational Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
-MN
-MN
P O D I A T R YMN
Physician AssistantMN

Reviews

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Frequently asked questions

Can I use this page to confirm JOSEPH MATHEW FORTIER (PA-C)'s NPI?
Yes. JOSEPH MATHEW FORTIER (PA-C) is listed with NPI 1235623455 in the public NPI dataset.
Does the file indicate JOSEPH MATHEW FORTIER (PA-C) is practicing under active NPI?
Directory data currently reports JOSEPH MATHEW FORTIER (PA-C) as active.
What is JOSEPH MATHEW FORTIER (PA-C)'s primary classification?
Physician Assistant is the headline specialty for JOSEPH MATHEW FORTIER (PA-C) here. Clinical services aligned with this taxonomy classification.
Where should I expect JOSEPH MATHEW FORTIER (PA-C) on a map?
Expect Saint Cloud, Minnesota as a primary anchor for JOSEPH MATHEW FORTIER (PA-C) unless the record lists multiple sites.
Why does JOSEPH MATHEW FORTIER (PA-C) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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