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CAROLINE ROSE PRISTUPA PA-C
NPI 1548794530
Physician Assistant in Rochester, MN

Active since April 17, 2017PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
90 14TH ST SW, ROCHESTER, MN 55902(507) 288-2231 Get Directions Write a Review

NPPES record last updated: December 27, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 27, 2024, Apr 9, 2022, Apr 17, 2017 (3 updates tracked since 2017).

About Caroline Rose Pristupa Pa-c NPPES

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

CAROLINE ROSE PRISTUPA PA-C (NPI 1548794530) is an individual physician assistant in Rochester, Minnesota, licensed in Minnesota (14920) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Olmsted Medical Center, and is a graduate of Drexel University College Of Medicine (2016).

NPPES Registry Identity

NPI1548794530
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCAROLINE ROSE PRISTUPACredential: PA-C
Location Address90 14TH ST SWRochester, MN 55902-3821
Mailing Address90 14th St SwRochester, MN 55902-3821 · (507) 288-2231
Phone(507) 288-2231
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2016
Enumeration DateApril 17, 2017
Last NPPES UpdateDecember 27, 20243 updates tracked since enumeration
NPPES CertifiedDecember 27, 2024
✔ NPI 1548794530 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 · 14920✔ Licensed in NY · 020763
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.
90 14TH ST SW, Rochester, MN 55902
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Caroline Rose Pristupa 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 ID2769750611
PECOS Enrollment IDI20241113000154
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.

Hospital Affiliations CMS Care Compare

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

Olmsted Medical Center

Acute Care Hospitals · Rochester, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240006
Location1650 Fourth Street SoutheastRochester, MN 55904 · Olmsted County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55902 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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 Caroline Pristupa's NPI number?

The NPI number for Caroline Pristupa is 1548794530. It was assigned to this individual provider in the NPPES registry on April 17, 2017.

Where is Caroline Pristupa located?

Caroline Pristupa practices at 90 14th St SW, Rochester, MN 55902. The listed phone number is (507) 288-2231.

What is Caroline Pristupa's specialty?

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

Is Caroline Pristupa enrolled in Medicare?

Yes. Caroline Pristupa 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 Caroline Pristupa accept?

Health plans from Medica list Caroline Pristupa 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 Caroline Pristupa affiliated with any hospitals?

According to CMS data, Caroline Pristupa is affiliated with Olmsted Medical Center.

When was this NPI record last updated?

The NPPES record for Caroline Pristupa was last updated on December 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.