FREDERICK E DEMEUSE (PAC) – Physician Assistant, NPI 1760434211

FREDERICK E DEMEUSE (PAC) is a healthcare provider. based in Eden prairie, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. 9865 (MN). The NPI Number for FREDERICK E DEMEUSE (PAC) is 1760434211

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
FREDERICK E DEMEUSE (PAC)
NPI
1760434211
Phone
(612) 573-2200
Address
7595 ANAGRAM DR
Enumeration Date
16 May 2006
Last Update Date
1 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529252200
Graduation Year
2003 (23 years ago)
PAC ID
2466349139
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20040228000241
Address ID
MN554362106ED5203XSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,031 PHYSICIAN ASSISTANT in MN

Provider Addresses for FREDERICK E DEMEUSE (PAC)

  • 7595 ANAGRAM DR

    EDEN PRAIRIE, MN 553447399

    Phone: (612) 573-2200

    Fax: (612) 573-2274

    Type: Location

  • 6545 E Fish Lake Rd

    Maple Grove, MN 553696005

    Phone: (612) 695-9409

    Type: Location

  • 6545, East Fish Lake Road, Maple Grove, Hennepin County, Minnesota, 55369, United States

    MAPLE GROVE, MN 553696005

    Phone: (612) 695-9409

    Type: Mailing

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: 2024-12-13

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040228000241IPhysician AssistantMNTBD
I20241213002288IPhysician AssistantNDTBD

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
74230Imaging for evaluation of swallowing function2727$0
49083Drainage of fluid from abdominal cavity using imaging guidance1612$0
32555Aspiration of fluid from chest cavity using imaging guidance1512$0
10005Fine needle aspiration biopsy using ultrasound guidance, first growth1111$0
View full utilization report →

Insurance plans in this area (ZIP 55344)

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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: 4587573613View full group profile

Reviews

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Frequently asked questions

Where can patients find FREDERICK E DEMEUSE (PAC)'s NPI?
You can confirm FREDERICK E DEMEUSE (PAC) with NPI 1760434211; it appears in the national provider directory.
Does this profile mean FREDERICK E DEMEUSE (PAC) is currently active?
Yes — FREDERICK E DEMEUSE (PAC) appears active in the national provider directory.
What field does FREDERICK E DEMEUSE (PAC) work in?
You can think of FREDERICK E DEMEUSE (PAC) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place FREDERICK E DEMEUSE (PAC)?
The snapshot lists Eden Prairie, Minnesota for FREDERICK E DEMEUSE (PAC); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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