MS. RENAE J MATTHEWS (PA-C) – Physician Assistant, NPI 1467497487
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MS. RENAE J MATTHEWS (PA-C)
711 DELMORE DR- ALTRU CLINIC/ROSEAU
ROSEAU, MN 567511534
Phone: (218) 463-1365
Fax: (704) 688-9651
Type: Location
2401, Demers Avenue, Grand Forks, Grand Forks County, North Dakota, 58201, United States
GRAND FORKS, ND 58201
Phone: (701) 780-1891
Fax: (704) 688-9651
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.
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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: 2019-04-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20100818001014 | I | Physician Assistant | NC | TBD |
| I20190411000522 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 25 | 25 | $0 |
Insurance plans in this area (ZIP 56751)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ND | |
| - | ND | |
| N E U R O S U R G E R Y | FL | |
| - | ND | |
| Nephrology, Internal Medicine | ND | |
| O P T O M E T R Y | ND | |
| - | ND | |
| N E U R O L O G Y | MN | |
| - | NE | |
| Family Practice | ND |
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