MR. DAVID J SEABOLT NP
NPI 1023094927
Nurse Practitioner - Family in Minneapolis, MN

Q: What is David Seabolt's NPI number?

The NPI number for David Seabolt is 1023094927. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Q: What is David Seabolt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for David Seabolt was last updated on October 30, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 22, 2005PECOS Enrolled

920 2ND AVE S, SUITE 400, MINNEAPOLIS, MN 55402(612) 659-7111 Get Directions Write a Review

NPPES record last updated: October 30, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mr. David J Seabolt Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DAVID J SEABOLT NP (NPI 1023094927) is an individual family provider in Minneapolis, Minnesota, licensed in Pennsylvania (SP009426) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023094927

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. DAVID J SEABOLTCredential: NP

Location Address920 2ND AVE S, SUITE 400Minneapolis, MN 55402-3318

Mailing Address3310 West End Ave 590, Suite 590Nashville, TN 37203-1260 · (615) 454-9850 · Fax (888) 494-2588

Phone(612) 659-7111

Sole ProprietorNo

Enumeration DateDecember 22, 2005

Last NPPES UpdateOctober 30, 2015

✔ NPI 1023094927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in PA · SP009426✔ Licensed in FL · ARNP9237539

920 2ND AVE S, Minneapolis, MN 55402

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Other Identifiers 5

Medicare UPINS77112

Medicare ID-Type UnspecifiedY086ZZFL

Medicaid307347500FL

Medicare PIN120483XRUPA

Medicare PIN120483XRNPA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. David J Seabolt Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.