THERESA J WYTASKE NNP
NPI 1043634496
Nurse Practitioner in Rochester, MN
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 and maintains a secondary practice location in Minneapolis.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Theresa J Wytaske Nnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Theresa Wytaske reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rochester, MN 55905
- Reassigned Medicare billing, Minnesota enrollment
- 6,534 clinicians in this Medicare group
Owatonna, MN 55060
- Reassigned Medicare billing, Minnesota enrollment
- 3,733 clinicians in this Medicare group
La Crosse, WI 54601
- Reassigned Medicare billing, Wisconsin enrollment
- 1,003 clinicians in this Medicare group
Savage, MN 55378
- Reassigned Medicare billing, Minnesota enrollment
- 320 clinicians in this Medicare group
St Paul, MN 55102
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Children's Health Care
- 551 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
ROCHESTER, MN 55905
ROCHESTER, MN 55905
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 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.
Where is Theresa Wytaske located?
Theresa Wytaske practices at 200 1st St SW, Rochester, MN 55905. The listed phone number is (507) 284-2511.
What is Theresa Wytaske's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Theresa Wytaske enrolled in Medicare?
Yes. Theresa Wytaske is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Theresa Wytaske's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Wytaske reassigns Medicare benefits to 5 organizations: Mayo Clinic (Rochester, MN), Allina Health System (Owatonna, MN), Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (La Crosse, WI), St Francis Regional Medical Center (Savage, MN) and Childrens Health Care (St Paul, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theresa Wytaske's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theresa Wytaske accept?
Health plans from HealthPartners list Theresa Wytaske 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.
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.
# Theresa J Wytaske, NNP · NPI 1043634496
Nurse Practitioner physician in Rochester, Minnesota. Individual provider, active in the CMS NPPES registry since February 5, 2014.
## Identity
- **NPI:** 1043634496 (Entity type: Individual)
- **Enumerated:** February 5, 2014
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 5162 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 1ST ST SW, Rochester, MN 55905
- **Phone:** (507) 284-2511
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Mayo Clinic (NPI 1114343860, Rochester, MN); Allina Health System (NPI 1548136146, Owatonna, MN); Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (NPI 1629056049, La Crosse, WI); St Francis Regional Medical Center (NPI 1689103442, Savage, MN); Childrens Health Care (NPI 1225132566, St Paul, MN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 19, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1043634496) · Data from the CMS NPPES public registry.