Active NPI
Andrea Jo Pater, FNP-BC
- Family Nurse Practitioner
- Cass Lake, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R162986-2
- Practice address
- 425 7TH St NW
Cass Lake, MN 56633-3360 - Phone
- (218) 335-3200
- NPI assigned
- Aug 30, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | CNP3513 | MN | |
| Family Nurse Practitioner | 363LF0000X | R162986-2 | MN | Primary |
Addresses
Primary practice location
425 7TH St NW
Cass Lake, MN 56633-3360
Mailing address
425 7TH St NW
Cass Lake, MN 56633-3360
Phone (218) 335-3200
Other practice location 1
425 7th St NW
Cass Lake, MN 56633-3360
Phone (218) 335-3200
Other names 1
- Andrea Jo Athmann-Luksik
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
425 7TH St NW
Cass Lake, MN 56633-3360
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.56 of 100
- Quality
- 74.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3513 | MN | MD | Vision Therapy Optometrist |
| CNP3513 | MN | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of Health & Human Services PHS IHS | Current | Accepting new patients | |
| Lifecare Medical Center | Current | Accepting new patients |
Locations
350 E Devon Ave
Itasca, IL 60143
425 7th St NW
Cass Lake, MN 56633
Phone (218) 335-3200
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Cass Lake, MN
- NPI 1194754382
TX
-
- Critical Access Hospital
- Roseau, MN
- NPI 1609861095
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Cass Lake, MN
- NPI 1194754382
-
- Critical Access Hospital
- Roseau, MN
- NPI 1609861095
-
- Internal Medicine Physician
- Bemidji, MN
- NPI 1780628149
Hospital
-
- Rural Acute Care Hospital
- Bemidji, MN
- NPI 1801870191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745452800000",
"number": "1275814659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 7TH ST NW",
"city": "CASS LAKE",
"state": "MN",
"postal_code": "566333360",
"telephone_number": "218-335-3200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 7TH ST NW",
"city": "CASS LAKE",
"state": "MN",
"postal_code": "566333360",
"telephone_number": "218-335-3200"
}
],
"practiceLocations": [
{
"address_1": "425 7th St NW",
"address_purpose": "LOCATION",
"city": "Cass Lake",
"state": "MN",
"postal_code": "566333360",
"country_code": "US",
"telephone_number": "218-335-3200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATER",
"first_name": "ANDREA",
"middle_name": "JO",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-30",
"last_updated": "2025-04-24",
"certification_date": "2025-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MN",
"license": "CNP3513",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "R162986-2",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "ATHMANN-LUKSIK",
"middle_name": "JO",
"credential": "CNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cass Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.