MR. LUIS SANTIAGO ESCOBAR ACEVEDO (PA-C) – Physician Assistant, NPI 1922406222

MR. LUIS SANTIAGO ESCOBAR ACEVEDO (PA-C) is a healthcare provider. based in New prague, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 11704 (MN). The NPI Number for MR. LUIS SANTIAGO ESCOBAR ACEVEDO (PA-C) is 1922406222

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
MR. LUIS SANTIAGO ESCOBAR ACEVEDO (PA-C)
NPI
1922406222
Phone
(952) 758-4431
Address
301 2nd St NE
Enumeration Date
18 December 2014
Last Update Date
24 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5072842511
Graduation Year
2014 (12 years ago)
PAC ID
0446575500
Group Practice PAC ID
6507778255
Professional Enrollment ID
I20150211002421
Address ID
MN559050001RO200XXSWXX400
Telehealth
Yes

Contacts

Secure Messaging
lescobaracevedo91634@ehrdirect.mayoclinicmsg.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

4,032 PHYSICIAN ASSISTANT in MN

Provider Addresses for MR. LUIS SANTIAGO ESCOBAR ACEVEDO (PA-C)

  • 301 2nd St NE

    New Prague, MN 560711709

    Phone: (952) 758-4431

    Type: Location

  • 1101 Moulton and Parsons Dr

    Saint James, MN 560815550

    Phone: (507) 375-3261

    Type: Location

  • 1101 MOULTON AND PARSONS DR

    SAINT JAMES, MN 560815550

    Phone: (507) 375-3261

    Type: Location

  • 101 MARTIN LUTHER KING DR

    MANKATO, MN 560016460

    Phone: (507) 625-4031

    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: 2015-02-11

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
I20150211002421IPhysician 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes147141$0
99214Established patient office or other outpatient visit, 30-39 minutes10297$0
99203New patient office or other outpatient visit, 30-44 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 56071)

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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: 6507778255View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm MR. LUIS SANTIAGO ESCOBAR ACEVEDO (PA-C)'s NPI?
Yes. MR. LUIS SANTIAGO ESCOBAR ACEVEDO (PA-C) is listed with NPI 1922406222 in the public NPI dataset.
Is MR. LUIS SANTIAGO ESCOBAR ACEVEDO (PA-C) still practicing?
MR. LUIS SANTIAGO ESCOBAR ACEVEDO (PA-C) is currently listed as active in the public NPI registry.
What is MR. LUIS SANTIAGO ESCOBAR ACEVEDO (PA-C) best known for clinically?
Directory data describes MR. LUIS SANTIAGO ESCOBAR ACEVEDO (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for MR. LUIS SANTIAGO ESCOBAR ACEVEDO (PA-C)?
MR. LUIS SANTIAGO ESCOBAR ACEVEDO (PA-C)'s geographic hint is New Prague, Minnesota in our summary view.
Why does MR. LUIS SANTIAGO ESCOBAR ACEVEDO (PA-C) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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