KATY S ANTHONY (PA-C) – Medical Physician Assistant, NPI 1295754463

KATY S ANTHONY (PA-C) is a healthcare provider. based in La crescent, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 10114 (MN). The NPI Number for KATY S ANTHONY (PA-C) is 1295754463

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
KATY S ANTHONY (PA-C)
NPI
1295754463
Phone
(608) 785-0940
Address
524 N Elm St
Enumeration Date
19 July 2006
Last Update Date
30 April 2020

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
5076150600
Graduation Year
2005 (21 years ago)
PAC ID
7416966312
Group Practice PAC ID
2163331414
Professional Enrollment ID
I20060420000033
Address ID
MN559871957WI1122X61XX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

4,031 PHYSICIAN ASSISTANT in MN

Provider Addresses for KATY S ANTHONY (PA-C)

  • 524 N Elm St

    LA Crescent, MN 559471027

    Phone: (608) 785-0940

    Type: Location

  • 1836, South Avenue, La Crosse, La Crosse County, Wisconsin, 54601, United States

    LA CROSSE, WI 546015429

    Phone: (608) 782-7300

    Type: Mailing

  • Hiawatha Pioneer Trail/Disabled American Veterans Highway/Voyageur Highway, Winona, Winona County, Minnesota, 55987, United States

    WINONA, MN 559871957

    Phone: (608) 782-7300

    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: 2006-04-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060420000033IPhysician 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
99214Established patient office or other outpatient visit, 30-39 minutes158111$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit8989$0
99213Established patient office or other outpatient visit, 20-29 minutes3127$0
G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit1111$0
View full utilization report →

Insurance plans in this area (ZIP 55947)

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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: 2163331414View full group profile
NameSpecialtyState
-WI
P S Y C H I A T R YWI
Physician AssistantWI
-WI
-WI
Family PracticeWI
Nurse PractitionerWI
-IL
-WI
Gastroenterology, Internal MedicineWI

Reviews

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Frequently asked questions

What number should I use to identify KATY S ANTHONY (PA-C) for billing?
Administrative and clinical systems typically use NPI 1295754463 for KATY S ANTHONY (PA-C).
Should I treat KATY S ANTHONY (PA-C) as an active provider?
Patients and plans typically see KATY S ANTHONY (PA-C) as active in the national extract.
What type of care does KATY S ANTHONY (PA-C) provide?
KATY S ANTHONY (PA-C)'s profile centers on Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KATY S ANTHONY (PA-C)?
KATY S ANTHONY (PA-C) is associated with La Crescent, Minnesota in the same public data insurers reference.
Who maintains KATY S ANTHONY (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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