KATE T ERICKSON (PAC) – Physician Assistant, NPI 1407833742

KATE T ERICKSON (PAC) is a healthcare provider. based in Oak park heights, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. 9913 (MN). The NPI Number for KATE T ERICKSON (PAC) is 1407833742

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
KATE T ERICKSON (PAC)
NPI
1407833742
Phone
(651) 439-8807
Address
5803 NEAL AVE N
Enumeration Date
28 December 2005
Last Update Date
30 June 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9528318742
Graduation Year
2004 (22 years ago)
PAC ID
9335106830
Group Practice PAC ID
3173570561
Professional Enrollment ID
I20041216000397
Address ID
MN554314800BL8100XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

4,031 PHYSICIAN ASSISTANT in MN

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Provider Addresses for KATE T ERICKSON (PAC)

  • 5803, Neal Avenue North, Oak Park Heights, Washington County, Minnesota, 55082, United States

    OAK PARK HEIGHTS, MN 550822177

    Phone: (651) 439-8807

    Fax: (651) 439-0232

    Mailing address matches the actual address.

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 $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-07-17 • Largest payer in this snapshot: GENZYME CORPORATION ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GENZYME CORPORATION$16
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: 2004-12-16

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
I20041216000397IPhysician 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55082)

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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: 3173570561View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMN
-MN
Physical Medicine And RehabilitationMN
Orthopedic SurgeryMN
Occupational Therapist In Private PracticeMN
-MN
-MN
Physical Therapist In Private PracticeMN
-MN
-MN

Reviews

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Frequently asked questions

Can I verify KATE T ERICKSON (PAC) with an NPI only?
You can start verification with NPI 1407833742 for KATE T ERICKSON (PAC), then check state licensing separately.
Is KATE T ERICKSON (PAC) listed as active for patients and plans?
The listing shows KATE T ERICKSON (PAC) as active in the NPI system.
What is KATE T ERICKSON (PAC)'s primary classification?
Physician Assistant is the headline specialty for KATE T ERICKSON (PAC) here. Clinical services aligned with this taxonomy classification.
Does KATE T ERICKSON (PAC) list a practice location?
Patients near Oak Park Heights, Minnesota may find KATE T ERICKSON (PAC) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.