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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DEVON NICOLE ANDERSON PA-C
NPI 1023663598
Physician Assistant in Saint Louis Park, MN

Active since August 01, 2019PECOS Enrolled
3800 PARK NICOLLET BLVD, SAINT LOUIS PARK, MN 55416(952) 993-1000 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 18, 2026, Jan 22, 2026, Jan 7, 2020 and 1 more (4 updates tracked since 2019).

About Devon Nicole Anderson Pa-c NPPES

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

DEVON NICOLE ANDERSON PA-C (NPI 1023663598) is an individual physician assistant in Saint Louis Park, Minnesota, licensed in Minnesota (13224) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with St Andrew's Hospital, and maintains a secondary practice location in Grand Forks.

NPPES Registry Identity

NPI1023663598
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDEVON NICOLE ANDERSONCredential: PA-C
Location Address3800 PARK NICOLLET BLVDSaint Louis Park, MN 55416-2527
Mailing Address8170 33rd Ave SBloomington, MN 55425-4516
Phone(952) 993-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 1, 2019
Last NPPES UpdateSeptember 18, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2026
✔ NPI 1023663598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in MN · 13224✔ Licensed in UT · 11467955-1206✔ Licensed in ND · PAC0802✔ Licensed in AK · 153663
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.
3800 PARK NICOLLET BLVD, Saint Louis Park, MN 55416
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Secondary Practice Location 1

Location 13674 S Washington StGrand Forks, ND 58201-5766 · Phone (701) 205-3000 · Fax (701) 732-2501

Other Identifiers 1

Medicaid1478558ND

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross Blue Shield of North Dakota, BridgeSpan Health Company and more.Insurance ›

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

Devon Nicole 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 ID4587996871
PECOS Enrollment IDI20191106002195, I20191209000593, I20200427000795, I20241031003709
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 4

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
255 services57 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.
189 services42 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
60 services20 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
19 services12 patients

Hospital Affiliations CMS Care Compare

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

St Andrew's Hospital

Critical Access Hospitals · Bottineau, ND
OwnershipVoluntary non-profit - Church
CMS Certification Number351307
Location316 Ohmer StreetBottineau, ND 58318 · Bottineau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55416 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.

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.

PETER MCCORMICK SCHAUB PSYD, LP
Psychologist
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3123
DAVID J NUTZ MD
Physical Medicine & Rehabilitation
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3800
GLENN MATFIN M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3800 PARK NICOLLET BLVD
MINNEAPOLIS, MN 55416
Hennepin County (952) 993-3048
KELLY C GRECO PAC
Physician Assistant
3800 PARK NICOLLET BLVD, DEPARTMENT OF DERMATOLOGY
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3260
KARLA SUSAN ROSENMAN MD
Dermatology
3800 PARK NICOLLET BLVD, DERMATOLOGY 4TH FLOOR
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3821
DR. KRISTIN A KUNZMAN PSY.D.
Psychologist (Clinical)
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3393
DR. ALISON M LANG M.D.
Dermatology
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3789
DR. CHUNG M LEE M.D.
Radiology (Diagnostic Radiology)
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3212

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 Devon Anderson's NPI number?

The NPI number for Devon Anderson is 1023663598. It was assigned to this individual provider in the NPPES registry on August 1, 2019.

Where is Devon Anderson located?

Devon Anderson practices at 3800 Park Nicollet Blvd, Saint Louis Park, MN 55416. The listed phone number is (952) 993-1000.

What is Devon Anderson's specialty?

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

Is Devon Anderson enrolled in Medicare?

Yes. Devon 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.

What insurance does Devon Anderson accept?

Health plans from Blue Cross Blue Shield of North Dakota, Blue Cross and Blue Shield of Montana, BridgeSpan Health Company, HealthPartners and Mountain Health CO-OP and 5 other insurers list Devon Anderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Devon Anderson affiliated with any hospitals?

According to CMS data, Devon Anderson is affiliated with St Andrew's Hospital.

When was this NPI record last updated?

The NPPES record for Devon Anderson was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.