PAUL JOSEPH II ANDERSON (M.D.) – Occupational Medicine Physician, NPI 1699960401
Occupational Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
52 PREVENTIVE MEDICINE in MN
Provider Addresses for PAUL JOSEPH II ANDERSON (M.D.)
1500 Curve Crest Blvd W
Stillwater, MN 550826040
Phone: (651) 439-1234
Type: Location
5100 Gamble Dr
Ste 100
Saint Louis Park, MN 55416
Phone: (952) 541-2500
Fax: (952) 541-2539
Type: Location
PO BOX 1309
MAIL STOP 21110Q
MINNEAPOLIS, MN 554401309
Phone: (952) 541-2500
Fax: (952) 541-2539
Type: Mailing
3800, Park Nicollet Boulevard, Elmwood, Saint Louis Park, Hennepin County, Minnesota, 55416, United States
ST LOUIS PARK, MN 554162527
Phone: (952) 993-3123
Fax: (952) 993-3286
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: 2022-06-15
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 |
|---|---|---|---|---|
| I20140422001859 | I | Preventive Medicine | MN | TBD |
| I20220615003083 | I | Preventive Medicine | WI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55082)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Clinical Psychologist | MN | |
| - | MN | |
| P S Y C H I A T R Y | MN | |
| Family Practice | MN | |
| - | MN | |
| - | MN | |
| P O D I A T R Y | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN |
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