THERESA J WYTASKE NNP
NPI 1043634496
Nurse Practitioner in Rochester, MN

Q: What is Theresa Wytaske's NPI number?

The NPI number for Theresa Wytaske is 1043634496. It was assigned to this individual provider in the NPPES registry on February 5, 2014. The provider is also known as Theresa J Heise Nnp.

Q: What is Theresa Wytaske'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 Theresa Wytaske was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 February 05, 2014PECOS Enrolled

200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 19, 2023, Oct 27, 2020, Nov 14, 2019 and 5 more (8 updates tracked since 2018).

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About Theresa J Wytaske Nnp NPPES

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

THERESA J WYTASKE NNP (NPI 1043634496) is an individual nurse practitioner in Rochester, Minnesota, licensed in Minnesota (5162) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043634496

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTHERESA J WYTASKECredential: NNP

Location Address200 1ST ST SWRochester, MN 55905

Mailing Address200 1st St SwRochester, MN 55905-0001 · (507) 284-2511

Phone(507) 284-2511

Sole ProprietorNo

Enumeration DateFebruary 5, 2014

Last NPPES UpdateMay 19, 20238 updates tracked since enumeration

NPPES CertifiedMay 19, 2023

✔ NPI 1043634496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in MN · 5162✔ Licensed in WI · 5683

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.

Also ListedRegistered NurseTaxonomy 163W00000X · License 198769 (WI)

Also ListedNurse Practitioner · NeonatalTaxonomy 363LN0000X · License 5162 (MN)

Also ListedNurse Practitioner · Neonatal, Critical CareTaxonomy 363LN0005X · License 5683 (WI)

200 1ST ST SW, Rochester, MN 55905

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Other Names 1

Former Name (1)Theresa J Heise Nnp

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theresa J Wytaske Nnp 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 55905 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.

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.

EMILY LEASURE MD

Internal Medicine