Active NPI 1225013634 Individual Practitioner Female Practitioner

Katie L Tanner , PA

Physician Assistant • Lisbon, ND

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Katie Tanner, PA is a certified Physician Assistant practicing in Lisbon, ND. With approximately 32 years of clinical experience since completing medical education in 1994, Katie Tanner delivers high-quality medical care to the local community at 819 MAIN ST.

Katie Tanner is affiliated with Innovis Health Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, established patient outpatient office visit, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

819 Main St

Lisbon, ND 580544244

Telephone 7016834134

Fax 7016834094

Associated Practice Facility / Clinic

🏢 Dakota Clinic, Ltd. Facility NPI 1093766974

Medicare Profile & Education

Medical School

Other

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lisbon, ND

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +13.7 yrs vs City Avg

City Avg: 18.3 Yrs

State Avg: 12.5 Yrs

Regional Practice Density

4 Specialists

Practicing in Lisbon, ND (469 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tanner (32 Years) 32 Yrs

Lisbon Specialty Average (18.3 Years) 18.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	456	164	$19.00	$8.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	300	140	$336.20	$104.36
99213 Established patient office or other outpatient visit, typically 15 minutes	122	80	$240.03	$74.32
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	86	39	$261.58	$87.72
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	57	57	$350.68	$106.06
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	46	30	$268.52	$87.79
71046 X-ray of chest, 2 views	45	36	$159.00	$22.80
0241U Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected	42	35	$215.00	$139.78
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	40	34	$60.00	$13.38
81003 Automated urinalysis test	30	26	$27.00	$2.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	21	$479.31	$147.87
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	20	12	$188.05	$60.50
73562 X-ray of knee, 3 views	17	15	$133.00	$31.35
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	14	14	$122.00	$6.05
74019 X-ray of abdomen, 2 views	13	11	$147.00	$25.42
20610 Aspiration and/or injection of fluid from large joint	13	12	$273.46	$56.95
73030 X-ray of shoulder, minimum of 2 views	11	11	$158.00	$25.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	434	178	$19.00	$8.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	314	152	$325.00	$105.76
99213 Established patient office or other outpatient visit, typically 15 minutes	149	98	$230.00	$74.60
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	116	57	$238.00	$87.97
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	52	52	$322.69	$106.61
81003 Automated urinalysis test	39	34	$27.00	$2.20
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	38	30	$238.00	$87.50
0241U Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected	25	23	$215.00	$139.78
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	21	$454.13	$147.95
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	22	21	$122.00	$6.18
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	19	17	$180.00	$61.34
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$432.29	$135.93
71046 X-ray of chest, 2 views	14	13	$159.00	$23.16
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	13	12	$62.00	$11.78
0240U Nfct ds vir resp rna 3 trgt	12	12	$215.00	$139.78
G0008 Administration of influenza virus vaccine	12	12	$47.00	$25.36
11104 Punch biopsy, first skin growth	12	12	$347.92	$105.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	425	174	$19.00	$2.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	216	121	$312.62	$107.08
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	216	75	$233.08	$74.75
99213 Established patient office or other outpatient visit, typically 15 minutes	141	90	$217.36	$75.78
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	76	44	$176.41	$56.52
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	52	45	$160.00	$50.53
81003 Automated urinalysis test	31	26	$27.00	$2.22
87502 Detection test by nucleic acid for multiple types influenza virus	20	18	$175.00	$93.88
20610 Aspiration and/or injection of fluid from large joint	19	16	$237.00	$53.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	16	$422.50	$150.79
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	18	13	$62.00	$12.10
G0008 Administration of influenza virus vaccine	16	16	$47.00	$25.05
90662 Influenza vaccine split virus, preservative free	15	15	$69.00	$67.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$291.00	$109.19
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$417.23	$139.01
0124A Fee covid-19 vac 13 res	11	11	$43.00	$33.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	507	197	$19.00	$3.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	305	146	$291.52	$110.27
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	215	77	$224.81	$76.66
99213 Established patient office or other outpatient visit, typically 15 minutes	210	126	$197.62	$77.64
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	59	41	$167.46	$57.84
81003 Automated urinalysis test	56	50	$27.00	$2.25
0001A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose	38	38	$26.00	$14.62
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	22	11	$62.00	$12.14
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	19	18	$122.00	$6.51
20610 Aspiration and/or injection of fluid from large joint	18	13	$237.00	$54.26
90662 Influenza vaccine split virus, preservative free	17	17	$69.00	$65.26
G0008 Administration of influenza virus vaccine	17	17	$47.00	$14.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	368	170	$189.38	$61.23
36415 Insertion of needle into vein for collection of blood sample	176	100	$19.00	$2.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	176	106	$271.82	$89.46
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	34	19	$62.00	$12.07
99442 Telephone medical discussion with physician, 11-20 minutes	32	27	$187.38	$62.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$274.00	$84.35
81003 Automated urinalysis test	25	24	$27.00	$2.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$395.80	$134.69
90662 Influenza vaccine split virus, preservative free	24	24	$69.00	$60.47
G0008 Administration of influenza virus vaccine	23	23	$46.48	$16.74
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	20	19	$122.00	$8.45
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$187.93	$56.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	245	160	$15.39	$2.94
85007 Microscopic examination for white blood cells with manual cell count	153	119	$17.00	$3.74
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	153	119	$30.00	$7.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	53	$263.93	$90.06
85610 Blood test, clotting time	55	21	$37.40	$4.28
99213 Established patient office or other outpatient visit, typically 15 minutes	25	19	$172.72	$62.07
83036 Hemoglobin A1C level	22	20	$43.00	$10.57
81000 Manual urinalysis test with examination using microscope, non-automated	18	15	$15.00	$3.94
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	15	11	$62.00	$14.07
81002 Urinalysis, manual test	15	15	$14.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	366	203	$15.00	$2.94
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	298	187	$30.00	$7.82
85007 Microscopic examination for white blood cells with manual cell count	298	187	$17.00	$4.16
85610 Blood test, clotting time	43	19	$19.00	$4.75
83036 Hemoglobin A1C level	28	22	$43.00	$11.75
81000 Manual urinalysis test with examination using microscope, non-automated	27	24	$15.00	$3.94
86677 Analysis for antibody to helicobacter pylori (gastrointestinal bacteria)	14	13	$64.00	$17.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	300	185	$15.00	$2.94
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	237	157	$30.00	$8.69
85007 Microscopic examination for white blood cells with manual cell count	236	157	$17.00	$4.62
81000 Manual urinalysis test with examination using microscope, non-automated	23	19	$15.00	$4.26
83036 Hemoglobin A1C level	21	17	$43.00	$13.05
85610 Blood test, clotting time	19	12	$19.00	$5.28
81002 Urinalysis, manual test	19	18	$14.00	$3.43
86677 Analysis for antibody to helicobacter pylori (gastrointestinal bacteria)	12	12	$64.00	$19.50
87804 Detection test by immunoassay with direct visual observation for influenza virus	11	11	$53.00	$16.11

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License ND PAC0102

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

05171 (ND)

Commercial Insurance / Payer ID Ndbs

19659 (ND)

Hospital & Practice Group Affiliations

Innovis Health Llc

3000 32nd Ave S, Fargo, ND 581036132

Phone: 7013648000

Innovis Health Llc

819 Main St, Lisbon, ND 580544244

Phone: 7016834134

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Bruce Larson , PA-C

Physician Assistant

NPI 1265470371

Physician Assistant (Certified)

Carly Schultz , PA-C

Physician Assistant

NPI 1528870375

Physician Assistant (Certified)

Elisha Anderson , NP-C

Nurse Practitioner

NPI 1851698344

Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location September 12, 2019

Registered at 819 MAIN ST, LISBON, ND 580544244 (Tel: 7016834134)

📍

Updated Business Mailing Address September 12, 2019

Registered at 400 E 3RD ST, DULUTH, MN 558051951

✅

NPI Profile Active November 26, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location November 26, 2012

Registered at 10 9TH AVE E, LISBON, ND 58054 (Tel: 7016834711)

📍

Updated Business Mailing Address November 26, 2012

Registered at 10 9TH AVE E, LISBON, ND 58054 (Tel: 7016834711)

👤

Provider Name / Credentials Updated November 26, 2012

Recorded as KATIE TANNER, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 26, 2012

Physician Assistant (License #PAC0102 in ND)

🟢

Initial NPI Registration & Enumeration December 08, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225013634

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 08, 2005

Last Update: September 12, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

400 E 3rd St

Duluth, MN 558051951

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.