JULIE ANNE ANDERSSON (PA) – Physician Assistant, NPI 1245396852
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
3,678 PHYSICIAN ASSISTANT in WI
Provider Addresses for JULIE ANNE ANDERSSON (PA)
257 W Saint George Ave
Grantsburg, WI 548407827
Phone: (715) 463-5353
Fax: (715) 463-2423
Type: Location
Burnett General Hospital, 257, West Saint George Avenue, Grantsburg, Burnett County, Wisconsin, 54840, United States
GRANTSBURG, WI 548407827
Phone: (715) 463-5353
Fax: (715) 463-2423
Type: Location
2881 210TH ST
LUCK, WI 548533415
Phone: (715) 648-5161
Fax: (715) 463-2423
Type: Mailing
57425 FAWN AVE
PINE CITY, MN 550639070
Phone: (122) 209-7426
Type: Mailing
2401 FAIRVIEW AVE N STE 145
ROSEVILLE, MN 551132710
Phone: (888) 290-1209
Fax: (833) 973-3529
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $46.
Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.
Last reported payment date: 2024-05-20 • Largest payer in this snapshot: Genentech USA, Inc. ($46).
Total Amount
$46
General + Research + Ownership
Payments
1
Total payment records
General Amount
$46
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Genentech USA, Inc. | $46 |
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: 2015-04-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070326000443 | I | Physician Assistant | WI | TBD |
| I20150420001822 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 54840)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MN | |
| Clinical Social Worker | IL | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN | |
| Family Practice | MN | |
| Nurse Practitioner | MN | |
| Family Practice | MN | |
| Nurse Practitioner | MN |
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