KYLIE JO GROGAN PA-C
NPI 1629708532
Physician Assistant in Grand Forks, ND

Q: What is Kylie Grogan's NPI number?

The NPI number for Kylie Grogan is 1629708532. It was assigned to this individual provider in the NPPES registry on June 14, 2022. The provider is also known as Kylie Jo Pastian Pa-C.

Q: What is Kylie Grogan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kylie Grogan was last updated on November 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 14, 2022PECOS EnrolledAccepts Medicare Assignment

4440 S WASHINGTON ST, GRAND FORKS, ND 58201(701) 732-7700 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2023, Jul 14, 2022 (2 updates tracked since 2022).

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About Kylie Jo Grogan Pa-c NPPES

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

KYLIE JO GROGAN PA-C (NPI 1629708532) is an individual physician assistant in Grand Forks, North Dakota, licensed in North Dakota (PAC0954) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Lifecare Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1629708532

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKYLIE JO GROGANCredential: PA-C

Location Address4440 S WASHINGTON STGrand Forks, ND 58201-7245

Mailing Address4440 S Washington StGrand Forks, ND 58201-7245 · (701) 732-7700

Phone(701) 732-7700

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJune 14, 2022

Last NPPES UpdateNovember 20, 20232 updates tracked since enumeration

NPPES CertifiedNovember 20, 2023

✔ NPI 1629708532 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 ND · PAC0954

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.

4440 S WASHINGTON ST, Grand Forks, ND 58201

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Other Names 1

Former Name (1)Kylie Jo Pastian Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan.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

Kylie Jo Grogan 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 ID244614154

PECOS Enrollment IDI20220826000135

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

105 services89 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

16 services16 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

14 services14 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Lifecare Medical Center

Critical Access Hospitals · Roseau, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241344

Location715 Delmore DriveRoseau, MN 56751 · Roseau County

Emergency services

Altru Hospital

Acute Care Hospitals · Grand Forks, ND

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number350019

Location1200 S Columbia RdGrand Forks, ND 58201 · Grand Forks County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58201 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

$85.71 typical visit price

range $55.75 – $168.12

Typical copayment $21.42 (range $13.93 – $42.03)

Most-billed visit code 99203

Established Patient

$69.48 typical visit price

range $18.11 – $137.65

Typical copayment $17.37 (range $4.52 – $34.41)

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 18

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

DR. CORDELL ROSS DAVIS D.O.

Urology