ASHLEE MARIE TACKMANN (PA) – Physician Assistant, NPI 1255535787
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
4,031 PHYSICIAN ASSISTANT in MN
Provider Addresses for ASHLEE MARIE TACKMANN (PA)
210 9th St SE
Rochester, MN 559046425
Phone: (507) 288-3443
Type: Location
Northwest 26th Street, Owatonna, Steele County, Minnesota, 55060, United States
OWATONNA, MN 55060
Phone: (507) 451-1120
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2007-08-22
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 |
|---|---|---|---|---|
| I20070822001403 | 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 |
|---|---|---|---|---|
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 145 | 40 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 78 | 44 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 22 | 19 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 17 | 13 | $0 |
| 27447 | Replacement of knee joint, both sides of knee | 14 | 14 | $0 |
Insurance plans in this area (ZIP 55904)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MN | 20610 | Aspiration and/or injection of large joint or joint capsule | 49 | 34 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Family Practice | WI | |
| Physician Assistant | MN | |
| - | MN | |
| Diagnostic Radiology | TN | |
| - | MN | |
| - | MN | |
| - | MN | |
| - | MN | |
| - | MN |
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