ANNETTE MARIE BOTHUN (PA-C) – Physician Assistant, NPI 1528583846
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,032 PHYSICIAN ASSISTANT in MN
Provider Addresses for ANNETTE MARIE BOTHUN (PA-C)
412 Main Ave NE
Warroad, MN 567632342
Phone: (218) 386-2020
Type: Location
711 Delmore Dr
Roseau, MN 567511534
Phone: (218) 463-1365
Type: Location
1451 44TH AVE S STE E
GRAND FORKS, ND 582013434
Phone: (701) 787-5800
Fax: (701) 787-5802
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 83 Open Payments records for all available years, with a total value of $2,269.
Total Amount is formed as General ($2,269) + Research ($0) + Ownership ($0) = $2,269.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: US Oncology Corporate, Inc. ($807).
Total Amount
$2,269
General + Research + Ownership
Payments
83
Total payment records
General Amount
$2,269
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2018-08-22
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 |
|---|---|---|---|---|
| I20171006000836 | I | Physician Assistant | MN | TBD |
| I20180822000528 | I | Physician Assistant | ND | 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 | 271 | 113 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 116 | 71 | $0 |
| 99491 | Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month | 78 | 42 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 66 | 34 | $0 |
| 99424 | Principal care management services for a single high-risk disease, first 30 minutes provided personally by qualified health care professional, per calendar month. | 31 | 29 | $0 |
Insurance plans in this area (ZIP 56763)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | ND | |
| Medical Oncology, Hematology | ND | |
| Radiation Oncology, Medical Oncology | ND |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.