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

Individual provider Physician Assistant · NPI 1235419326

Katerina O. Belousova, PA-C is a Physician Assistant in Brooklyn Park, Minnesota. Qualified in 2011, 15 years ago. Practices with Fairview Clinics, a 806-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
15
Licensed in
MN
In the registry since
2011
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

10000 Zane Ave N
Brooklyn Park, MN 55443-1400
Phone: (763) 572-5700
Fax: (763) 596-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 21395 John Milless Dr, Rogers, MN 55374-4402 — (763) 504-6400

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10920 (MN)

Record details

NPI number1235419326
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 22, 2011
Last updated in NPPESAugust 24, 2020
Certification dateAugust 24, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Fairview Clinics — 806 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Brooklyn Park