MS. MELISSA ANDREOTTI-REVENIG (P.A.-C.) – Physician Assistant, NPI 1316954274
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
4,031 PHYSICIAN ASSISTANT in MN
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Provider Addresses for MS. MELISSA ANDREOTTI-REVENIG (P.A.-C.)
1700 HIGHWAY 25 N
BUFFALO, MN 553131930
Phone: (763) 295-2921
Fax: (763) 581-9090
Type: Mailing
1001, Hart Boulevard, Monticello, Wright County, Minnesota, 55362, United States
SUITE 100
MONTICELLO, MN 553628670
Phone: (763) 682-1313
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: 2004-01-07
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 |
|---|---|---|---|---|
| I20040107000527 | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 320 | 44 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 112 | 61 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 88 | 56 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 76 | 64 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 30 | 23 | $0 |
Insurance plans in this area (ZIP 55313)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MN | 17003 | Destruction of 2-14 skin growths | 105 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MN | |
| Internal Medicine | MN | |
| Family Practice | MN | |
| Certified Nurse Midwife (Cnm) | MN | |
| Family Practice | MN | |
| Family Practice | MN | |
| Family Practice | MN | |
| Nurse Practitioner | MN | |
| Family Practice | MN | |
| Physician Assistant | MN |
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