MRS. ASHLEY JILL KOLLER (PA-C) – Medical Physician Assistant, NPI 1932454691
Medical Physician Assistant
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
4,032 PHYSICIAN ASSISTANT in MN
Provider Addresses for MRS. ASHLEY JILL KOLLER (PA-C)
4200 DAHLBERG DR STE 300
GOLDEN VALLEY, MN 554224841
Phone: (763) 520-5600
Type: Mailing
2805 CAMPUS DR
MINNEAPOLIS, MN 554412676
Phone: (763) 577-7160
Type: Location
2855 CAMPUS DR
MINNEAPOLIS, MN 554412649
Phone: (763) 577-7160
Type: Location
2829 UNIVERSITY AVE SE STE 730
MINNEAPOLIS, MN 554143279
Phone: (612) 439-1868
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: 2012-11-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121102000145 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 103 | 100 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 37 | 37 | $0 |
| 81001 | Manual urinalysis test with examination using microscope, automated | 23 | 23 | $0 |
| 87086 | Bacterial colony count, urine | 20 | 20 | $0 |
| 87186 | Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution | 16 | 14 | $0 |
Insurance plans in this area (ZIP 55422)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | CO | |
| Qualified Audiologist | MN | |
| Family Practice | MN | |
| - | MN | |
| Family Practice | MN | |
| Nurse Practitioner | ND | |
| - | MN | |
| - | MN | |
| - | MN | |
| - | MN |
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