Katelynn Mae Nyberg, PA-C
NPI 1639707250ActiveIndividual· Physician Assistant· Maple Grove, MN
Physician Assistant (PA-C) with Danielle Golden, CRNA, PA, practicing in Maple Grove, Minnesota. Their prescriptions cost Medicare Part D more than their services did: $160,290 for 354 claims, against $6,931 paid for services in 2024. Livanova USA, Inc. reported $133.91 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1639707250 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Mar 30, 2020 |
| Last updated in NPPES | Jul 24, 2025 |
| Certified by provider | Jul 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 13511 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MN); Practitioner - Physician Assistant (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 25 |
|---|---|
| Services billed | 92 across 6 procedure codes |
| Paid by Medicare | $6,931 |
Part D prescriptions in 2024
| Prescriptions (claims) | 354 · 484 30-day fills |
|---|---|
| Patients | 31 |
| Total drug cost | $160,290 |
| Generic share | 71% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Danielle Golden, CRNA, PAGolden Valley, MN · 25 clinicians
Industry payments (Open Payments)
- 2024$133.91 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Livanova USA, Inc. | $133.91 | 1 |
What the 2024 payments were for
- Food and Beverage$133.91 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 63 physician assistants in Maple Grove · All physician assistants in Minnesota