ANDREA JO PATER (FNP-BC) – Family Nurse Practitioner, NPI 1275814659

ANDREA JO PATER (FNP-BC) is a healthcare provider. based in Cass lake, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. CNP3513 (MN). The NPI Number for ANDREA JO PATER (FNP-BC) is 1275814659

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
ANDREA JO PATER (FNP-BC)
NPI
1275814659
Phone
(218) 335-3200
Address
425 7TH ST NW
Enumeration Date
30 August 2011
Last Update Date
24 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2183353200
Graduation Year
2011 (15 years ago)
PAC ID
0840465886
Group Practice PAC ID
7517879794
Professional Enrollment ID
I20140203000212
Address ID
MN566333360CA425XXNWXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:14State licenses:2Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for ANDREA JO PATER (FNP-BC)

  • 425 7TH ST NW

    CASS LAKE, MN 566333360

    Phone: (218) 335-3200

    Type: Mailing

  • 28895 CO RD 26

    BROWERVILLE, MN 56438

    Phone: (218) 261-0733

    Type: Mailing

  • 811 2ND ST SE STE A

    LITTLE FALLS, MN 563453505

    Phone: (320) 631-7000

    Type: Location

  • 425 7th St NW

    Cass Lake, MN 566333360

    Phone: (218) 335-3200

    Type: Location

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: 2014-02-03

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
I20111202000434INurse PractitionerMNTBD
I20140203000212INurse PractitionerTXTBD

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 minutes7346$0
99214Established patient office or other outpatient visit, 30-39 minutes4234$0
99212Established patient office or other outpatient visit, 10-19 minutes2920$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional2112$0
View full utilization report →

Insurance plans in this area (ZIP 56633)

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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: 7517879794View full group profile
NameSpecialtyState
-MN
O P T O M E T R YMN
Nurse PractitionerMN
-MN
Nurse PractitionerMN
N E P H R O L O G YMN
Family PracticeMN
Nurse PractitionerMN
General SurgeryWI
Family PracticeMN

Reviews

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Frequently asked questions

What is the standard ID for ANDREA JO PATER (FNP-BC) in the U.S.?
In the U.S., ANDREA JO PATER (FNP-BC) is identified by NPI 1275814659.
Quick check: is ANDREA JO PATER (FNP-BC) active?
Public NPPES data shows ANDREA JO PATER (FNP-BC) with an active NPI status right now.
How should patients interpret ANDREA JO PATER (FNP-BC)'s specialty?
The extract shows Family Nurse Practitioner for ANDREA JO PATER (FNP-BC). Clinical services aligned with this taxonomy classification.
Which community is linked to ANDREA JO PATER (FNP-BC)?
ANDREA JO PATER (FNP-BC) shows a connection to Cass Lake, Minnesota in registry-derived data.
Why is information missing for ANDREA JO PATER (FNP-BC)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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