ANGELA L KNUTSON (PA) – Physician Assistant, NPI 1417915950
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
4,031 PHYSICIAN ASSISTANT in MN
Provider Addresses for ANGELA L KNUTSON (PA)
640 Jackson Street
MC 11102F
St. Paul, MN 551012502
Phone: (651) 254-3456
Fax: (651) 254-5216
Type: Location
1401 W 5th St
Sheridan, WY 828012705
Phone: (307) 672-1000
Type: Location
565 W BURKITT ST
SHERIDAN, WY 828014113
Phone: (651) 587-8180
Type: Mailing
497 W LOTT ST
BUFFALO, WY 828341658
Phone: (307) 684-5521
Type: Location
34th Avenue South, Bloomington, Hennepin County, Minnesota, 55425, United States
MC21110Q
BLOOMINGTON, MN 554251672
Phone: (952) 883-7172
Fax: (952) 883-5395
Type: Mailing
Regions Hospital, 640, Jackson Street, Saint Paul, Ramsey County, Minnesota, 55101, United States
MC 11102F
ST. PAUL, MN 551012502
Phone: (651) 254-3456
Fax: (651) 254-5216
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $46.
Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.
Last reported payment date: 2024-09-03 • Largest payer in this snapshot: Novo Nordisk Inc ($24).
Total Amount
$46
General + Research + Ownership
Payments
2
Total payment records
General Amount
$46
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $24 |
| Novartis Pharmaceuticals Corporation | $22 |
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: 2012-12-05
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 |
|---|---|---|---|---|
| I20121205000317 | I | Physician Assistant | WY | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55101)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | WY | |
| Physician Assistant | WY | |
| Osteopathic Manipulative Medicine, Family Practice | WY | |
| Physician Assistant | WY | |
| Physician Assistant | WY | |
| Family Practice | WY | |
| Family Practice | WY | |
| - | WY | |
| Emergency Medicine | WY | |
| Diagnostic Radiology, Interventional Radiology | WY |
Reviews
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