TARIKUA KATISO
NPI 1063206134
Nurse Practitioner - Family in Woodbury, MN
About Tarikua Katiso NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TARIKUA KATISO (NPI 1063206134) is an individual family provider in Woodbury, Minnesota, licensed in Minnesota (12379) and active in the NPI registry since April 2025. The provider is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tarikua Katiso 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.
Medicare Billing Reassignments
2Medicare enrollment records show Tarikua Katiso reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55437
- Reassigned Medicare billing, Minnesota enrollment
- 93 clinicians in this Medicare group
Minneapolis, MN 55437
- Reassigned Medicare billing, Minnesota enrollment
- 90 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
M Health Fairview University Of Mn
Acute Care Hospitals · Minneapolis, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55129 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tarikua Katiso's NPI number?
The NPI number for Tarikua Katiso is 1063206134. It was assigned to this individual provider in the NPPES registry on April 5, 2025.
Where is Tarikua Katiso located?
Tarikua Katiso practices at 10792 Ashley Ln, Woodbury, MN 55129. The listed phone number is (651) 497-1459.
What is Tarikua Katiso's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tarikua Katiso enrolled in Medicare?
Yes. Tarikua Katiso 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.
Which organizations bill Medicare for Tarikua Katiso's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tarikua Katiso reassigns Medicare benefits to 2 organizations: Curana Health Of Minnesota PLLC (Minneapolis, MN) and Ch Specialty Services Mn PC (Minneapolis, 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 Tarikua Katiso's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Tarikua Katiso affiliated with any hospitals?
According to CMS data, Tarikua Katiso is affiliated with M Health Fairview University Of Mn.
When was this NPI record last updated?
The NPPES record for Tarikua Katiso was last updated on April 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Tarikua Katiso · NPI 1063206134
Family physician in Woodbury, Minnesota. Individual provider, active in the CMS NPPES registry since April 5, 2025.
## Identity
- **NPI:** 1063206134 (Entity type: Individual)
- **Enumerated:** April 5, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 12379 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10792 ASHLEY LN, Woodbury, MN 55129-6903
- **Phone:** (651) 497-1459
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Curana Health Of Minnesota PLLC (NPI 1083365084, Minneapolis, MN); Ch Specialty Services Mn PC (NPI 1841999158, Minneapolis, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** April 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1063206134) · Data from the CMS NPPES public registry.