LAURA JAN PATTISON (MD) – Family Medicine Physician, NPI 1922295963

LAURA JAN PATTISON (MD) is a healthcare provider. based in Anoka, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 48999 (MN). The NPI Number for LAURA JAN PATTISON (MD) is 1922295963

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
LAURA JAN PATTISON (MD)
NPI
1922295963
Phone
(651) 431-5000
Address
3301 7TH AVE
Enumeration Date
3 October 2007
Last Update Date
24 October 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
6083551240
Graduation Year
2004 (22 years ago)
PAC ID
6507956851
Group Practice PAC ID
5496709867
Professional Enrollment ID
I20221006001704
Address ID
WI539139064BAS2845RDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Digital endpointsOther names

3,076 FAMILY PRACTICE in MN

Provider Addresses for LAURA JAN PATTISON (MD)

  • 3301 7TH AVE

    ANOKA, MN 553034516

    Phone: (651) 431-5000

    Type: Location

  • Hiawatha Business Center, 2020, East 28th Street, East Phillips, Phillips, Minneapolis, Hennepin County, Minnesota, 55406, United States

    MINNEAPOLIS, MN 55407

    Phone:

    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: 2022-10-06

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
I20071226000442IFamily PracticeMNTBD
I20221006001704IFamily PracticeWITBD

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 55303)

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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: 5496709867View full group profile
NameSpecialtyState
Nurse PractitionerWI
Mental Health CounselorWI
Family PracticeWI
Registered Dietitian Or Nutrition ProfessionalWI
Registered Dietitian Or Nutrition ProfessionalWI
-WI
-WI
Clinical Social WorkerWI
Registered Dietitian Or Nutrition ProfessionalWI
Nurse PractitionerWI

Reviews

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Frequently asked questions

What federal number belongs to LAURA JAN PATTISON (MD)?
The federal identifier for LAURA JAN PATTISON (MD) is NPI 1922295963.
Does this profile mean LAURA JAN PATTISON (MD) is currently active?
Yes — LAURA JAN PATTISON (MD) appears active in the national provider directory.
Does LAURA JAN PATTISON (MD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for LAURA JAN PATTISON (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for LAURA JAN PATTISON (MD)?
The page summarizes Anoka, Minnesota for LAURA JAN PATTISON (MD); expand the address list for detail.
Is LAURA JAN PATTISON (MD) a real provider?
This page reflects official NPPES data for NPI 1922295963. Always confirm identity and privileges with the practice and licensing boards.

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