ABBY KERSHAW (PAC) – Physician Assistant, NPI 1467818161

ABBY KERSHAW (PAC) is a healthcare provider. based in Bloomington, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. 12038 (MN). The NPI Number for ABBY KERSHAW (PAC) is 1467818161

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
ABBY KERSHAW (PAC)
NPI
1467818161
Phone
(612) 871-1145
Address
5705 W Old Shakopee Rd
Enumeration Date
11 January 2016
Last Update Date
11 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3206825225
Graduation Year
2015 (11 years ago)
PAC ID
2668777210
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20160219001441
Address ID
MN553021109AN440XXEXXX400
Telehealth
Yes

Contacts

Secure Messaging
akershaw292025@excellian.direct.allina.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

4,031 PHYSICIAN ASSISTANT in MN

Provider Addresses for ABBY KERSHAW (PAC)

  • 5705 W Old Shakopee Rd

    #150

    Bloomington, MN 554373101

    Phone: (612) 871-1145

    Fax: (612) 870-5491

    Type: Location

  • 1400, Jefferson Road, Northfield, Rice County, Minnesota, 55057, United States

    NORTHFIELD, MN 550573081

    Phone: (507) 663-9000

    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: 2016-02-19

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
I20160219001441IPhysician 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
99213Established patient office or other outpatient visit, 20-29 minutes8271$0
99214Established patient office or other outpatient visit, 30-39 minutes7062$0
87086Bacterial colony count, urine2523$0
81001Manual urinalysis test with examination using microscope, automated1614$0
87186Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution1613$0
View full utilization report →

Insurance plans in this area (ZIP 55437)

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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: 4587573613View full group profile

Reviews

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Frequently asked questions

Where can patients find ABBY KERSHAW (PAC)'s NPI?
You can confirm ABBY KERSHAW (PAC) with NPI 1467818161; it appears in the national provider directory.
Is ABBY KERSHAW (PAC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is ABBY KERSHAW (PAC)?
The page reflects Physician Assistant for ABBY KERSHAW (PAC). Clinical services aligned with this taxonomy classification.
What location metadata exists for ABBY KERSHAW (PAC)?
The page summarizes Bloomington, Minnesota for ABBY KERSHAW (PAC); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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