MARY KATHLEEN ANDERSON PA-C
NPI 1013080316
Physician Assistant in Fridley, MN

Active since November 16, 2006PECOS EnrolledAccepts Medicare Assignment
480 OSBORNE RD NE, FRIDLEY, MN 55432(763) 785-4500(763) 785-3329 Get Directions Write a Review

NPPES record last updated: April 3, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Kathleen Anderson Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY KATHLEEN ANDERSON PA-C (NPI 1013080316) is an individual physician assistant in Fridley, Minnesota, licensed in Minnesota (10146) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with North Memorial Health Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1013080316
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY KATHLEEN ANDERSONCredential: PA-C
Location Address480 OSBORNE RD NEFridley, MN 55432-2773
Mailing Address480 Osborne Rd NeFridley, MN 55432-2773 · (763) 785-4500 · Fax (763) 785-3329
Fax(763) 785-3329
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateNovember 16, 2006
Last NPPES UpdateApril 3, 2012
NPI 1013080316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MN · 10146
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

480 OSBORNE RD NE, Fridley, MN 55432

Other Identifiers 6

Other138758Ucare
Other625A6ANBlue Cross Of Mn
OtherHP73373Healthpartners
Medicare UPINQ74208
Medicaid816420000MN
Medicare PIN970002804MN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary Kathleen Anderson Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709887375
PECOS Enrollment IDI20070124000698
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
158 services98 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
125 services83 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
108 services69 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
64 services49 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
61 services47 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
59 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Memorial Health Hospital

Acute Care Hospitals · Robbinsdale, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240001
Location3300 Oakdale NorthRobbinsdale, MN 55422 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55432 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
15 suppliers34 claims101 services$6.08 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers16 claims34 services$1.05 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers21 claims21 services$58.85 avg. paid by Medicare
Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram J7608
DME-Drugs Administered Through DME · category DG000N
1 supplier27 claims105 services$5.24 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers16 claims16 services$24.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
480 OSBORNE RD NE
FRIDLEY, MN 55432
Physical Therapist
480 OSBORNE RD NE, #280
FRIDLEY, MN 55432
Nurse Practitioner
480 OSBORNE RD NE, STE 260
MINNEAPOLIS, MN 55432
Occupational Therapist
480 OSBORNE RD NE
FRIDLEY, MN 55432
Psychiatry & Neurology (Psychiatry)
480 OSBORNE RD NE, STE 260
FRIDLEY, MN 55432
Clinic/Center (Ambulatory Surgical)
480 OSBORNE RD NE, SUITE 260
FRIDLEY, MN 55432
Social Worker (Clinical)
480 OSBORNE RD NE
FRIDLEY, MN 55432
Family Medicine
480 OSBORNE RD NE, SUITE 100
FRIDLEY, MN 55432

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Anderson's NPI number?

The NPI number for Mary Anderson is 1013080316. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Mary Anderson located?

Mary Anderson practices at 480 Osborne Rd NE, Fridley, MN 55432. The listed phone number is (763) 785-4500.

What is Mary Anderson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mary Anderson enrolled in Medicare?

Yes. Mary Anderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Mary Anderson affiliated with any hospitals?

According to CMS data, Mary Anderson is affiliated with North Memorial Health Hospital.

When was this NPI record last updated?

The NPPES record for Mary Anderson was last updated on April 3, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.