Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Kathleen Anderson, PA-C

Individual provider Physician Assistant · NPI 1013080316

Mary Kathleen Anderson, PA-C is a Physician Assistant in Fridley, Minnesota. Qualified in 2006, 20 years ago. Practices with North Memorial Health Care, a 506-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
20
Licensed in
MN
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

480 Osborne Rd NE
Fridley, MN 55432-2773 Not confirmed with CMS for 14 years — call before visiting
Phone: (763) 785-4500
Fax: (763) 785-3329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10146 (MN)

Record details

NPI number1013080316
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 16, 2006
Last updated in NPPESApril 3, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice North Memorial Health Care — 506 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations9 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients155
Services billed 10,165 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at North Memorial Health Care

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 506 clinicians in the practice; 12 are shown here.

Other providers in Fridley