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

About MARY KATHLEEN ANDERSON PA-C

Mary Anderson is a primary care provider established in Fridley, Minnesota and her medical specialization is Physician Assistant with more than 17 years of experience. The NPI number of Mary Anderson is 1013080316 and was assigned on November 2006. The practitioner's primary taxonomy code is 363A00000X with license number 10146 (MN). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1013080316
Provider Name MARY KATHLEEN ANDERSON PA-C
Location Address480 OSBORNE RD NE FRIDLEY, MN 55432
Location Phone(763) 785-4500
Mailing Address480 OSBORNE RD NE FRIDLEY, MN 55432
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2006
Is Sole Proprietor?No
Enumeration Date11-16-2006
Last Update Date04-03-2012

A primary care provider (PCP) like Mary Kathleen Anderson Pa-c sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc Mary Anderson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Mary Anderson is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with North Memorial Health Hospital.

The typical physician office visit costs for Medicare beneficiaries in this area are: $22.21 for a new patient copayment and $18.15 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code363A00000X
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.10146
License StateMN
Taxonomy DescriptionA 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.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Blue Cross Blue Shield
  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

MARY KATHLEEN ANDERSON PA-C
480 OSBORNE RD NE
FRIDLEY, MN
ZIP 55432
Phone: (763) 785-4500
Fax: (763) 785-3329

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Mailing Address

MARY KATHLEEN ANDERSON PA-C
480 OSBORNE RD NE
FRIDLEY, MN
ZIP 55432
Phone: (763) 785-4500
Fax: (763) 785-3329


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID6709887375
PECOS Enrollment IDI20070124000698
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 55432 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$57.95 $174.84 $88.84
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.48 $43.71 $22.21
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$18.41 $143.56 $72.62
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.6 $35.89 $18.15

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 26Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 11Administration of pneumococcal vaccine (HCPCS:G0009)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Mary Anderson is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
NORTH MEMORIAL HEALTH HOSPITAL3300 OAKDALE NORTH
ROBBINSDALE, MN 55422
(763) 520-5200Acute Care Hospitals240001

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
138758OTHER (01)UCARE
625A6ANOTHER (01)BLUE CROSS OF MN
HP73373OTHER (01)HEALTHPARTNERS
Q74208MEDICARE UPIN (02)
816420000MEDICAID (05)MN
970002804MEDICARE PIN (08)MN

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013080316
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
202308032
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 8 + 0 + 3 + 2 + 24 = 44
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 44 = 66

The NPI number 1013080316 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1437241312DR. STEPHEN C MANN M.D.
Individual
Internal Medicine (Hematology & Oncology)480 OSBORNE RD NE SUITE 220
FRIDLEY, MN 55432
(763) 786-1620
1457426090 KAVITHA BINDIGANAVILAE KARUKURICHI MD
Individual
Internal Medicine480 OSBORNE RD NE
FRIDLEY, MN 55432
(763) 785-4500
1356585442MINNESOTA ONCOLOGY HEMATOLOGY, PA
Organization
Internal Medicine (Hematology & Oncology)480 OSBORNE RD NE SUITE 220
FRIDLEY, MN 55432
(763) 786-1620
1548572662 JOSEPHINE CHANTELLE HITI PA-C
Individual
Physician Assistant (Medical)480 OSBORNE RD NE
FRIDLEY, MN 55432
(763) 785-4500
1043646029DR. PATRICK DAVID CARLSON D.P.T
Individual
Physical Therapist480 OSBORNE RD NE #280
FRIDLEY, MN 55432
(763) 784-3155
1003215542 ALISON GARDNER PA-C
Individual
Physician Assistant (Medical)480 OSBORNE RD NE
FRIDLEY, MN 55432
(763) 785-4500
1275528671MULTICARE ASSOCIATES OF THE TWIN CITIES,PA
Organization
Family Medicine480 OSBORNE RD NE SUITE 100
FRIDLEY, MN 55432
(763) 785-4500
1194766774 MARIA DANA TUDOR M.D.
Individual
Internal Medicine480 OSBORNE RD NE SUITE 100
FRIDLEY, MN 55432
(763) 785-4500
1427068618DR. THOMAS T AMATRUDA III M.D.
Individual
Internal Medicine (Hematology & Oncology)480 OSBORNE RD NE SUITE 220
FRIDLEY, MN 55432
(763) 786-1620
1194105841PAIN CENTERS OF MINNESOTA - FRIDLEY, LLC
Organization
Clinic/Center (Ambulatory Surgical)480 OSBORNE RD NE SUITE 260
FRIDLEY, MN 55432
(763) 537-6000
1588035612 YELENA BABASHOVA PA-C
Individual
Physician Assistant480 OSBORNE RD NE
FRIDLEY, MN 55432
(763) 785-4500
1700071248 HEATHER ANN PENNING CNP
Individual
Nurse Practitioner (Adult Health)480 OSBORNE RD NE SUITE 220
FRIDLEY, MN 55432
(763) 786-1620
1417000597 CATHERINE LILLIAN NOEMI GARDOS REID LICSW
Individual
Counselor (Mental Health)480 OSBORNE RD NE SUITE 260
FRIDLEY, MN 55432
(763) 236-3800
1629408687 DANIELLE ELIZABETH NELSON PA-C
Individual
Physician Assistant (Medical)480 OSBORNE RD NE
FRIDLEY, MN 55432
(763) 785-4500
1750722617 MICHAEL RUSSELL NEUTKENS P.A.-C.
Individual
Physician Assistant480 OSBORNE RD NE
FRIDLEY, MN 55432
(763) 785-4500
1063923233 CHRISTINA LOUISE ANN HER OTR/L
Individual
Occupational Therapist480 OSBORNE RD NE
FRIDLEY, MN 55432
(763) 236-5656
1346254430 UZMA ALI MBBS
Individual
Internal Medicine (Hematology & Oncology)480 OSBORNE RD NE SUITE 220
FRIDLEY, MN 55432
(763) 786-1620
1720098064DR. JADE GARRETT ANDERSON M.D.
Individual
Internal Medicine (Medical Oncology)480 OSBORNE RD NE SUITE 220
FRIDLEY, MN 55432
(763) 786-1620
1417049396DR. DAVID MARK KING M.D.
Individual
Internal Medicine (Medical Oncology)480 OSBORNE RD NE SUITE 220
FRIDLEY, MN 55432
(763) 786-1620
1033426960ALLINA HEALTH SYSTEM
Organization
Internal Medicine (Hematology & Oncology)480 OSBORNE RD NE SUITE 200
FRIDLEY, MN 55432
(763) 236-5600

Frequently Asked Questions

What is Mary Anderson PA-C NPI number?

The NPI number assigned to Mary Anderson PA-C is 1013080316, registered as an "individual" on November 16, 2006

Where is Mary Anderson PA-C located?

The provider is located at 480 Osborne Rd Ne Fridley, Mn 55432 and the phone number is (763) 785-4500

Which is Mary Anderson PA-C specialty?

The provider's speciality is Physician Assistant

How many years of experience does Mary Anderson PA-C have?

The provider has more than 17 years of experience.

What insurance does Mary Anderson PA-C accept?

The provider might be accepting Blue Cross Blue Shield, Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Mary Anderson PA-C registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Mary Anderson PA-C?

Medicare beneficiaries should expect a typical cost of $88.84 with an average copayment of $22.21 for new patient appointments. Established patients should expect a typical charge of $72.62 and an average copayment of 18.15. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Mary Anderson PA-C?

The most common procedures or services performed by this practitioner are: Insertion of needle into vein for collection of blood sample and Administration of pneumococcal vaccine.

Is Mary Anderson PA-C affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: NORTH MEMORIAL HEALTH HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

The NPI record of Mary Anderson PA-C was last updated on November 16, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]