PAUL RAYMOND ANDERSON (PA-C) – Physician Assistant, NPI 1780613042
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
4,032 PHYSICIAN ASSISTANT in MN
Provider Addresses for PAUL RAYMOND ANDERSON (PA-C)
1ST & ROOSEVELT ST.
KARLSTAD, MN 56732
Phone: (218) 436-2251
Type: Location
1750 47TH AVE S
GRAND FORKS, ND 582017595
Phone: (701) 757-8700
Type: Location
3001 Sanford Pkwy
Thief River Falls, MN 567012700
Phone: (218) 683-2725
Type: Location
205, Roosevelt Avenue, Karlstad, Kittson County, Minnesota, 56732, United States
KARLSTAD, MN 567324022
Phone: (218) 436-2251
Type: Mailing
3001 SANFORD PKWY
THIEF RIVER FALLS, MN 567012700
Phone: (218) 683-2725
Type: Location
PO BOX 5074
SIOUX FALLS, SD 571175074
Phone: (218) 683-2725
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: 2013-06-25
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 |
|---|---|---|---|---|
| I20031120000598 | I | Physician Assistant | ND | TBD |
| I20130625000830 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 56732)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | SD | |
| H O S P I T A L I S T | ND | |
| Certified Registered Nurse Anesthetist (Crna) | SD | |
| Certified Registered Nurse Anesthetist (Crna) | ND | |
| Hand Surgery | NH | |
| Hand Surgery, Orthopedic Surgery | ND | |
| Orthopedic Surgery | ND | |
| Certified Registered Nurse Anesthetist (Crna) | ND | |
| Nurse Practitioner | SD | |
| Physician Assistant | SD |
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