KRISTIN M EGAN (PA-C) – Physician Assistant, NPI 1437602828

KRISTIN M EGAN (PA-C) is a healthcare provider. based in Broooklyn park, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 12253 (MN). The NPI Number for KRISTIN M EGAN (PA-C) is 1437602828

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIN M EGAN (PA-C)
NPI
1437602828
Phone
(763) 587-7900
Address
9201 WEST BROADWAY AVE
Enumeration Date
2 August 2016
Last Update Date
5 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6126727422
Graduation Year
2016 (10 years ago)
PAC ID
5799073946
Group Practice PAC ID
3375645179
Professional Enrollment ID
I20161004002057
Address ID
MN554550363MI500XXSEXX400
Telehealth
Yes

Contacts

Secure Messaging
kristin.egan@nor.eclinicaldirectplus.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:9State licenses:1Other namesUpdated within 12 months

4,031 PHYSICIAN ASSISTANT in MN

Provider Addresses for KRISTIN M EGAN (PA-C)

  • 9201 WEST BROADWAY AVE

    SUITE 601

    BROOOKLYN PARK, MN 55445

    Phone: (763) 587-7900

    Fax: (763) 587-7066

    Type: Mailing

  • 50 Central Ave

    Osseo, MN 553691241

    Phone: (763) 587-7900

    Fax: (763) 420-1901

    Type: Location

  • North Memorial Medical Center, 3300, Oakdale Avenue North, Robbinsdale, Hennepin County, Minnesota, 55422, United States

    ROBBINSDALE, MN 55422

    Phone: (763) 581-6555

    Fax: (763) 581-4771

    Type: Location

  • 15655 37TH AVE N STE 100

    PLYMOUTH, MN 554464003

    Phone: (763) 587-7900

    Fax: (763) 587-7701

    Type: Mailing

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: 2016-10-04

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
I20161004002057IPhysician 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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3915$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 55445)

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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: 3375645179View full group profile
NameSpecialtyState
P A T H O L O G YMN
G A S T R O E N T E R O L O G YMN
N E U R O S U R G E R YOH
-MN
Physician AssistantMN
Physician AssistantMN
-MN
-MN
Physical Therapist In Private PracticeOR
Cardiovascular Disease (Cardiology)IL

Reviews

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Frequently asked questions

Can I cross-check KRISTIN M EGAN (PA-C) using NPI 1437602828?
NPI 1437602828 belongs to KRISTIN M EGAN (PA-C); compare other details if you need extra assurance.
Would KRISTIN M EGAN (PA-C) appear as active to a payer?
You can treat KRISTIN M EGAN (PA-C) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to KRISTIN M EGAN (PA-C)?
KRISTIN M EGAN (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Minnesota is KRISTIN M EGAN (PA-C) registered?
Use Broooklyn Park, Minnesota as the headline location for KRISTIN M EGAN (PA-C) here.
When was this NPI issued?
Enumeration for KRISTIN M EGAN (PA-C) is noted as August 2, 2016 where the registry provides it.

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