KRISTINA KAY THISSEN (PA-S) – Medical Physician Assistant, NPI 1184069304
Medical Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KRISTINA KAY THISSEN (PA-S)
21395 JOHN MILLESS DR
ROGERS, MN 553744402
Phone: (763) 504-6400
Fax: (763) 504-6410
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)
CMS reports 136 Open Payments records for all available years, with a total value of $128,519.
Total Amount is formed as General ($128,519) + Research ($0) + Ownership ($0) = $128,519.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Galderma Laboratories, L.P. ($128,472).
Total Amount
$128,519
General + Research + Ownership
Payments
136
Total payment records
General Amount
$128,519
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Galderma Laboratories, L.P. | $128,472 |
| REVANCE THERAPEUTICS, INC. | $47 |
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: 2020-01-14
PECOS data refreshed: 2026-05-27
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 55374)
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