MS. ALEATHEA RAE ANDERSON (PA-C) – Physician Assistant, NPI 1942356944

MS. ALEATHEA RAE ANDERSON (PA-C) is a healthcare provider. based in Long prairie, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2089 (WI). The NPI Number for MS. ALEATHEA RAE ANDERSON (PA-C) is 1942356944

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MS. ALEATHEA RAE ANDERSON (PA-C)
NPI
1942356944
Phone
(320) 732-2141
Address
20 SE NINTH STREET
Enumeration Date
25 January 2007
Last Update Date
8 May 2012

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
3202798600
Graduation Year
2006 (20 years ago)
PAC ID
8527060052
Group Practice PAC ID
3870406945
Professional Enrollment ID
I20080508000076
Address ID
MN550376419HI45XXXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

4,031 PHYSICIAN ASSISTANT in MN

Provider Addresses for MS. ALEATHEA RAE ANDERSON (PA-C)

  • 20 SE NINTH STREET

    CENTRACARE HEALTH SYSTEM-LONG PRAIRIE

    LONG PRAIRIE, MN 563471404

    Phone: (320) 732-2141

    Fax: (320) 732-6913

    Mailing address matches the actual address.

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: 2008-05-08

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
I20070212000555IPhysician AssistantWITBD
I20080508000076IPhysician 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 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 56347)

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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: 3870406945View full group profile
NameSpecialtyState
Nurse PractitionerMN
Family PracticeMN
Family PracticeMN
Nurse PractitionerMN
P O D I A T R YMN
Nurse PractitionerMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

What is MS. ALEATHEA RAE ANDERSON (PA-C)'s NPI number?
MS. ALEATHEA RAE ANDERSON (PA-C)'s NPI is 1942356944 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to MS. ALEATHEA RAE ANDERSON (PA-C)?
You should see MS. ALEATHEA RAE ANDERSON (PA-C) as active in CMS-hosted NPPES data.
How would a patient describe MS. ALEATHEA RAE ANDERSON (PA-C)'s focus?
For MS. ALEATHEA RAE ANDERSON (PA-C), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MS. ALEATHEA RAE ANDERSON (PA-C) located near Long Prairie?
MS. ALEATHEA RAE ANDERSON (PA-C) currently maps to Long Prairie, Minnesota in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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