KATIE PETERSON – Medical Physician Assistant, NPI 1477886323
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,031 PHYSICIAN ASSISTANT in MN
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Provider Addresses for KATIE PETERSON
17521, 93rd Place North, Cranberry Meadows, Maple Grove, Hennepin County, Minnesota, 55311, United States
MAPLE GROVE, MN 553114437
Phone:
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 9 Open Payments records for all available years, with a total value of $903.
Total Amount is formed as General ($903) + Research ($0) + Ownership ($0) = $903.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Stryker Corporation ($674).
Total Amount
$903
General + Research + Ownership
Payments
9
Total payment records
General Amount
$903
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $674 |
| DePuy Synthes Sales Inc. | $129 |
| Anika Therapeutics, Inc. | $65 |
| ABBVIE INC. | $35 |
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: 2009-11-02
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 |
|---|---|---|---|---|
| I20091102000384 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 68 | 51 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 57 | 41 | $0 |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 25 | 22 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 19 | 17 | $0 |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 19 | 17 | $0 |
Insurance plans in this area (ZIP 55311)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| - | MN | |
| - | MN | |
| Family Practice | MN | |
| Family Practice | IL | |
| - | MN | |
| - | MN | |
| - | MN | |
| - | MN | |
| - | MN |
Reviews
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