DARLA R THEOBALD NP
NPI 1043293657
Nurse Practitioner in Mankato, MN

Q: What is Darla Theobald's NPI number?

The NPI number for Darla Theobald is 1043293657. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Q: What is Darla Theobald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Darla Theobald was last updated on September 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 29, 2005PECOS EnrolledAccepts Medicare Assignment

1025 MARSH ST, MANKATO, MN 56001(507) 625-4031 Get Directions Write a Review

NPPES record last updated: September 18, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 18, 2020, Jun 18, 2019 (2 updates tracked since 2019).

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About Darla R Theobald Np NPPES

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

DARLA R THEOBALD NP (NPI 1043293657) is an individual nurse practitioner in Mankato, Minnesota, licensed in Minnesota (1113) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System - Mankato, and maintains a secondary practice location in Mankato.

NPPES Registry Identity

NPI1043293657

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDARLA R THEOBALDCredential: NP

Location Address1025 MARSH STMankato, MN 56001-4752

Mailing Address1025 Marsh StMankato, MN 56001-4752 · (507) 625-4031

Phone(507) 625-4031

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateNovember 29, 2005

Last NPPES UpdateSeptember 18, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2020

✔ NPI 1043293657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in MN · 1113✔ Licensed in MN · R1159484

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1025 MARSH ST, Mankato, MN 56001

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Secondary Practice Location 1

Location 11015 Marsh StMankato, MN 56001-5294 · Phone (507) 389-4700

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Darla R Theobald Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587791967

PECOS Enrollment IDI20100415000645

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.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

390 services237 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

71 services56 patients

Test to measure oxygen level in blood using ear or finger device continuously overnight 94762

This procedure involves using a small device, placed on your ear or finger, to continuously monitor your blood oxygen level overnight. It's painless, non-invasive, and helps assess your body's oxygen supply during sleep.

66 services61 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

59 services59 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

58 services58 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

52 services52 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

44 services42 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

41 services40 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

26 services26 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

19 services19 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

14 services14 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

12 services12 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mayo Clinic Health System - Mankato

Acute Care Hospitals · Mankato, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240093

Location1025 Marsh StreetMankato, MN 56001 · Blue Earth County

Emergency services Birthing friendly

Mayo Clinic Health System - Fairmont

Acute Care Hospitals · Fairmont, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number240166

Location800 Medical Center DriveFairmont, MN 56031 · Martin County

Emergency services Birthing friendly

Mayo Clinic Health System St. James

Critical Access Hospitals · St James, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241333

Location1101 Moulton And Parsons DriveSt James, MN 56081 · Watonwan County

Emergency services

Mayo Clinic Health System - Waseca

Critical Access Hospitals · Waseca, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241345

Location501 North State StreetWaseca, MN 56093 · Waseca County

Emergency services

Mayo Clinic Health System New Prague

Critical Access Hospitals · New Prague, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241361

Location301 2nd Street NortheastNew Prague, MN 56071 · Scott County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56001 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.

Referred Medical Equipment & Supplies CMS DME claims 29

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

16 suppliers234 claims234 services$38.43 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

3 suppliers11 claims22 services$1.50 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005

DME-Other DME · category DE000N

4 suppliers15 claims15 services$11.24 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

17 suppliers163 claims163 services$100.66 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

18 suppliers194 claims442 services$36.60 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

5 suppliers51 claims199 services$20.63 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

4 suppliers45 claims199 services$14.23 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

7 suppliers105 claims105 services$53.11 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

19 suppliers221 claims221 services$19.78 avg. paid by Medicare

Chinstrap used with positive airway pressure device A7036

DME-Other DME · category DE001N

5 suppliers12 claims12 services$9.28 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

6 suppliers53 claims53 services$15.56 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

21 suppliers316 claims1,407 services$2.29 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

15 suppliers124 claims124 services$12.33 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

6 suppliers148 claims149 services$18.35 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

2 suppliers12 claims12 services$52.71 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

3 suppliers83 claims83 services$89.78 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0471

DME-Other DME · category DE001N

3 suppliers32 claims32 services$249.94 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

6 suppliers85 claims87 services$13.72 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

4 suppliers90 claims90 services$7.16 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

13 suppliers411 claims411 services$33.93 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

11 suppliers483 claims486 services$96.78 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

4 suppliers183 claims192 services$35.30 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

5 suppliers43 claims2,580 services$4.46 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

3 suppliers20 claims1,170 services$6.73 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

13 suppliers71 claims18,006 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

17 suppliers85 claims7,980 services$0.10 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

5 suppliers31 claims1,830 services$0.80 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier14 claims14 services$35.53 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

23 suppliers162 claims162 services$25.49 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTIN MARIE CLIFFORD CNP

Nurse Practitioner

1025 MARSH ST
MANKATO, MN 56001

Blue Earth County (507) 625-4031

PAUL L JOHNSON M.D.

Anesthesiology

1025 MARSH ST
MANKATO, MN 56001

Blue Earth County (507) 345-2623

ELIZABETH CUMBERLAND NP

Nurse Practitioner (Family)

1025 MARSH ST
MANKATO, MN 56001

Blue Earth County (507) 625-4031

DR. IGNACIO JUSUE TORRES M.D.

Neurological Surgery

1025 MARSH ST
MANKATO, MN 56001

Blue Earth County (507) 625-1811

OMAR G FERRER ARNP

Nurse Practitioner

1025 MARSH ST
MANKATO, MN 56001

Blue Earth County (507) 625-4031

JENNA JACKSON PHARM.D., R.PH.

Pharmacist

1025 MARSH ST
MANKATO, MN 56001

Blue Earth County (507) 594-2999

SHARON R BRANDT CRNA

Nurse Anesthetist, Certified Registered

1025 MARSH ST
MANKATO, MN 56001

Blue Earth County (507) 625-4031

RIPUDAMANJIT SINGH MD

Internal Medicine (Interventional Cardiology)

1025 MARSH ST
MANKATO, MN 56001

Blue Earth County (507) 625-4031

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Darla Theobald's NPI number?

The NPI number for Darla Theobald is 1043293657. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Where is Darla Theobald located?

Darla Theobald practices at 1025 Marsh St, Mankato, MN 56001. The listed phone number is (507) 625-4031.

What is Darla Theobald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Darla Theobald enrolled in Medicare?

Yes. Darla Theobald is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Darla Theobald accept?

Health plans from Medica and Sanford Health Plan list Darla Theobald as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Darla Theobald affiliated with any hospitals?

According to CMS data, Darla Theobald is affiliated with Mayo Clinic Health System - Mankato, Mayo Clinic Health System - Fairmont, Mayo Clinic Health System St. James, Mayo Clinic Health System - Waseca and Mayo Clinic Health System New Prague.

When was this NPI record last updated?

The NPPES record for Darla Theobald was last updated on September 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.