CHEROKEE ROSE LEE ROVA (PAC) – Physician Assistant, NPI 1578863924

CHEROKEE ROSE LEE ROVA (PAC) is a healthcare provider. based in Duluth, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. AMD-1104 (HI). The NPI Number for CHEROKEE ROSE LEE ROVA (PAC) is 1578863924

Main info

Female
16 Years Of Experience
Name
CHEROKEE ROSE LEE ROVA (PAC)
NPI
1578863924
Phone
(218) 786-3146
Address
ESSENTIA HEALTH DULUTH CLINIC MSS 6AV1-PE
Enumeration Date
1 November 2010
Last Update Date
11 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8083207300
Graduation Year
2010 (16 years ago)
PAC ID
0446448054
Group Practice PAC ID
8426308883
Professional Enrollment ID
I20220323001728
Address ID
HI967225462PR4488XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:15State licenses:2Digital endpointsOther names

4,032 PHYSICIAN ASSISTANT in MN

Provider Addresses for CHEROKEE ROSE LEE ROVA (PAC)

  • ESSENTIA HEALTH DULUTH CLINIC MSS 6AV1-PE

    400 EAST THIRD STREET

    DULUTH, MN 558051951

    Phone: (218) 786-3146

    Type: Mailing

  • 1101 9TH ST N

    VIRGINIA, MN 557922329

    Phone: (218) 741-0150

    Fax: (218) 741-7892

    Type: Location

  • 4488 HANALEI PLANTATION RD

    PRINCEVILLE, HI 967225462

    Phone: (808) 320-7300

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $587.

Total Amount is formed as General ($587) + Research ($0) + Ownership ($0) = $587.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: SUN PHARMACEUTICAL INDUSTRIES INC. ($269).

Total Amount

$587

General + Research + Ownership

Payments

15

Total payment records

General Amount

$587

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2022-03-23

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
I20220323001728IPhysician AssistantHITBD

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
17003Destruction of precancer skin growth, 2-14 growths37973$0
99213Established patient office or other outpatient visit, 20-29 minutes199163$0
17000Destruction of precancer skin growth, 1 growth10986$0
99203New patient office or other outpatient visit, 30-44 minutes6767$0
11102Biopsy of related skin growth, first growth4138$0
View full utilization report →

Insurance plans in this area (ZIP 55805)

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Provider's Procedures

CHEROKEE ROSE LEE ROVA (PAC) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTMN17003Destruction of 2-14 skin growths463124

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: 8426308883View full group profile
NameSpecialtyState
Family PracticeUT
Physician AssistantNC
Internal MedicineUT
Nurse PractitionerMT
Internal MedicineUT
D E R M A T O L O G YRI
Emergency MedicineUT
Internal MedicineMA
Physician AssistantCA
Physician AssistantUT

Reviews

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Frequently asked questions

How is CHEROKEE ROSE LEE ROVA (PAC) identified in CMS data?
CMS-hosted NPPES data lists CHEROKEE ROSE LEE ROVA (PAC) with NPI 1578863924.
Does the file indicate CHEROKEE ROSE LEE ROVA (PAC) is practicing under active NPI?
Directory data currently reports CHEROKEE ROSE LEE ROVA (PAC) as active.
What taxonomy line describes CHEROKEE ROSE LEE ROVA (PAC)?
For research purposes, treat CHEROKEE ROSE LEE ROVA (PAC) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where is CHEROKEE ROSE LEE ROVA (PAC) based?
CHEROKEE ROSE LEE ROVA (PAC) is tied to Duluth, Minnesota in the data we show; additional addresses may exist on the full record.
Is the information about CHEROKEE ROSE LEE ROVA (PAC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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