MS. ALISSA S VENTURA (PA-C) – Surgical Physician Assistant, NPI 1740255835

MS. ALISSA S VENTURA (PA-C) is a healthcare provider. based in Fridley, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 9911 (MN). The NPI Number for MS. ALISSA S VENTURA (PA-C) is 1740255835

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MS. ALISSA S VENTURA (PA-C)
NPI
1740255835
Phone
(763) 780-6699
Address
480 Osborne Rd NE Ste 100
Enumeration Date
22 February 2006
Last Update Date
4 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7637806699
Graduation Year
2004 (22 years ago)
PAC ID
0648234211
Group Practice PAC ID
2466416128
Professional Enrollment ID
I20041113000110
Address ID
MN553694769MA9825XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,031 PHYSICIAN ASSISTANT in MN

Provider Addresses for MS. ALISSA S VENTURA (PA-C)

  • 480 Osborne Rd NE Ste 100

    Fridley, MN 554322781

    Phone: (763) 780-6699

    Fax: (763) 420-0500

    Type: Location

  • 5700 Bottineau Blvd Ste 100

    Crystal, MN 554293184

    Phone: (763) 780-6699

    Fax: (763) 420-0500

    Type: Location

  • 3366 Oakdale Ave N Ste 200

    Robbinsdale, MN 554222962

    Phone: (763) 780-6699

    Fax: (763) 420-0500

    Type: Location

  • 2600 39th Ave NE

    Minneapolis, MN 554214379

    Phone: (763) 780-6699

    Fax: (763) 420-0500

    Type: Location

  • 11855 Ulysses St NE Ste 250

    Blaine, MN 554344182

    Phone: (763) 780-6699

    Fax: (763) 420-0500

    Type: Location

  • 1700 Highway 25 N Ste 120

    Buffalo, MN 553131930

    Phone: (763) 780-6699

    Fax: (763) 420-0500

    Type: Location

  • 1495 County Road 101 N

    Plymouth, MN 554473078

    Phone: (763) 780-6699

    Fax: (763) 420-0500

    Type: Location

  • 303 Catlin St

    Buffalo, MN 553131947

    Phone: (763) 684-6160

    Type: Location

  • 7600 France Ave S Ste 4100

    Edina, MN 554356027

    Phone: (763) 780-6699

    Fax: (763) 420-0500

    Type: Location

  • 6565 France Ave S Ste 350

    Edina, MN 554352159

    Phone: (763) 780-6699

    Fax: (763) 420-0500

    Type: Location

  • 7373 France Ave S Ste 408

    Edina, MN 554354549

    Phone: (763) 780-6699

    Fax: (763) 420-0500

    Type: Location

  • 15450 Highway 7 Ste 225

    Minnetonka, MN 553453522

    Phone: (763) 780-6699

    Type: Location

  • 9825, Hospital Drive, The Grove, Maple Grove, Hennepin County, Minnesota, 55369, United States

    STE 105

    MAPLE GROVE, MN 553694479

    Phone: (763) 780-6699

    Fax: (763) 420-0500

    Type: Mailing

  • Hospital Drive, The Grove, Maple Grove, Hennepin County, Minnesota, 55311, United States

    MAPLE GROVE, MN 553694769

    Phone: (763) 780-6699

    Fax: (763) 420-0500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $111.

Total Amount is formed as General ($111) + Research ($0) + Ownership ($0) = $111.

Last reported payment date: 2024-07-17 • Largest payer in this snapshot: Baxter Healthcare ($111).

Total Amount

$111

General + Research + Ownership

Payments

1

Total payment records

General Amount

$111

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Baxter Healthcare$111
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: 2004-11-13

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
I20041113000110IPhysician 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55432)

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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: 2466416128View full group profile

Reviews

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Frequently asked questions

How is MS. ALISSA S VENTURA (PA-C) identified in CMS data?
CMS-hosted NPPES data lists MS. ALISSA S VENTURA (PA-C) with NPI 1740255835.
Does CMS list MS. ALISSA S VENTURA (PA-C) as active?
Yes — MS. ALISSA S VENTURA (PA-C) is active in the NPI listing used on this page.
What is MS. ALISSA S VENTURA (PA-C)'s specialty?
The listing groups MS. ALISSA S VENTURA (PA-C) with Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect MS. ALISSA S VENTURA (PA-C) on a map?
Expect Fridley, Minnesota as a primary anchor for MS. ALISSA S VENTURA (PA-C) unless the record lists multiple sites.
Is the information about MS. ALISSA S VENTURA (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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