LAUREN TORKILSEN HENNESSY (PA-C) – Physician Assistant, NPI 1750682589
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,032 PHYSICIAN ASSISTANT in MN
Provider Addresses for LAUREN TORKILSEN HENNESSY (PA-C)
14574 64TH AVE N
MAPLE GROVE, MN 553114108
Phone: (763) 438-1709
Type: Mailing
23671 SAINT FRANCIS BLVD NW
SAINT FRANCIS, MN 550709802
Phone: (763) 502-3900
Type: Location
6236 MALLORY LN
EDEN PRAIRIE, MN 553461423
Phone: (763) 438-1709
Type: Mailing
4151 WILLOWWOOD ST SE
PRIOR LAKE, MN 553724304
Phone: (952) 226-2600
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: 2011-03-30
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 |
|---|---|---|---|---|
| I20110330000890 | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 34 | 26 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 22 | 17 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 18 | 17 | $0 |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 16 | 14 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 16 | 15 | $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 |
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