ANNE-MARIE PERRY (PA-C) – Physician Assistant, NPI 1790738003

ANNE-MARIE PERRY (PA-C) is a healthcare provider. based in Minneapolis, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 10123 (MN). The NPI Number for ANNE-MARIE PERRY (PA-C) is 1790738003

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
ANNE-MARIE PERRY (PA-C)
NPI
1790738003
Phone
(651) 968-5050
Address
PO BOX 86 SDS 12 2901
Enumeration Date
18 May 2006
Last Update Date
28 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7635205200
Graduation Year
2005 (21 years ago)
PAC ID
3779518394
Group Practice PAC ID
0042123028
Professional Enrollment ID
I20060405000026
Address ID
MN554222962RO3366XNXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,031 PHYSICIAN ASSISTANT in MN

Provider Addresses for ANNE-MARIE PERRY (PA-C)

  • PO BOX 86 SDS 12 2901

    MINNEAPOLIS, MN 554862901

    Phone: (651) 968-5050

    Fax: (651) 968-5900

    Type: Mailing

  • 3300 Oakdale Ave N

    Robbinsdale, MN 554222926

    Phone: (763) 520-5200

    Type: Location

  • 2525 CHICAGO AVE

    MINNEAPOLIS, MN 554044518

    Phone: (612) 813-6000

    Type: Mailing

  • Saint Johns Boulevard, Maplewood, Ramsey County, Minnesota, 55109, United States

    MAPLEWOOD, MN 551091190

    Phone: (651) 968-5200

    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: 2006-04-05

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
I20060405000026IPhysician 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 55486)

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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: 0042123028View full group profile
NameSpecialtyState
Physician AssistantMN
-MN
-KY
Internal MedicineMN
-MN
Cardiovascular Disease (Cardiology)MN
-WI
Medical Oncology, HematologyMN
Certified Registered Nurse Anesthetist (Crna)MN
N E U R O S U R G E R YCO

Reviews

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Frequently asked questions

What identifier follows ANNE-MARIE PERRY (PA-C) across health systems?
The NPI 1790738003 uniquely identifies ANNE-MARIE PERRY (PA-C) in U.S. healthcare data.
Quick check: is ANNE-MARIE PERRY (PA-C) active?
Public NPPES data shows ANNE-MARIE PERRY (PA-C) with an active NPI status right now.
What type of care does ANNE-MARIE PERRY (PA-C) provide?
ANNE-MARIE PERRY (PA-C)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit ANNE-MARIE PERRY (PA-C) in Minneapolis, Minnesota?
For routing, start with Minneapolis, Minnesota for ANNE-MARIE PERRY (PA-C), then verify phone and hours locally.
Can I export ANNE-MARIE PERRY (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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