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KRISTINA KAY THISSEN PA-S
NPI 1184069304
Physician Assistant - Medical in Rogers, MN

Active since May 01, 2013PECOS Enrolled
21395 JOHN MILLESS DR, ROGERS, MN 55374(763) 504-6400(763) 504-6410 Get Directions Write a Review

NPPES record last updated: May 1, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristina Kay Thissen Pa-s NPPES

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

KRISTINA KAY THISSEN PA-S (NPI 1184069304) is an individual medical provider in Rogers, Minnesota and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184069304
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKRISTINA KAY THISSENCredential: PA-S
Location Address21395 JOHN MILLESS DRRogers, MN 55374-4402
Mailing Address21395 John Milless DrRogers, MN 55374-4402 · (763) 504-6400 · Fax (763) 504-6410
Phone(763) 504-6400
Fax(763) 504-6410
Sole ProprietorNo
Enumeration DateMay 1, 2013
✔ NPI 1184069304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
21395 JOHN MILLESS DR, Rogers, MN 55374
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristina Kay Thissen Pa-s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 11

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

LESLIE A TRCKA M.D.
Family Medicine
21395 JOHN MILLESS DR
ROGERS, MN 55374
Hennepin County (763) 428-2206
CHRIS A STUART M.D.
Family Medicine
21395 JOHN MILLESS DR
ROGERS, MN 55374
Hennepin County (763) 428-2206
KRISTINE L ESKUCHEN M.D.
Family Medicine
21395 JOHN MILLESS DR
ROGERS, MN 55374
Hennepin County (763) 504-6400
MRS. LUANN K LERUD P.T.
Physical Therapist
21395 JOHN MILLESS DR
ROGERS, MN 55374
Hennepin County (763) 428-2589
GREGORY J FRANE M.D.
Family Medicine
21395 JOHN MILLESS DR
ROGERS, MN 55374
Hennepin County (763) 428-2206
MR. DAVID ALLEN EVERSON RPT
Physical Therapist
21395 JOHN MILLESS DR
ROGERS, MN 55374
Hennepin County (763) 428-2589
ARIEL SCHIBILLA PA-C
Family Medicine
21395 JOHN MILLESS DR
ROGERS, MN 55374
Hennepin County (763) 504-6400
CHANDRA SHIRLEY PT, ATC
Physical Therapist
21395 JOHN MILLESS DR, SUITE 600
ROGERS, MN 55374
Hennepin County (763) 428-2589

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 Kristina Thissen's NPI number?

The NPI number for Kristina Thissen is 1184069304. It was assigned to this individual provider in the NPPES registry on May 1, 2013.

Where is Kristina Thissen located?

Kristina Thissen practices at 21395 John Milless Dr, Rogers, MN 55374. The listed phone number is (763) 504-6400.

What is Kristina Thissen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kristina Thissen enrolled in Medicare?

Yes. Kristina Thissen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristina Thissen was last updated on May 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.