TARIKUA KATISO
NPI 1063206134
Nurse Practitioner - Family in Woodbury, MN

Active since April 05, 2025PECOS EnrolledAccepts Medicare Assignment
10792 ASHLEY LN, WOODBURY, MN 55129(651) 497-1459 Get Directions Write a Review

NPPES record last updated: April 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1063206134
Entity TypeIndividual
Primary Taxonomy363LF0000X
Provider Legal NameTARIKUA KATISO
Location Address10792 ASHLEY LNWoodbury, MN 55129-6903
Mailing Address10792 Ashley LnWoodbury, MN 55129-6903 · (651) 497-1459
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateApril 5, 2025
NPPES CertifiedApril 5, 2025
NPI 1063206134 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
License Licensed in MN · 12379
10792 ASHLEY LN, Woodbury, MN 55129

Accepted 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

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.

PECOS PAC ID547786212
PECOS Enrollment IDI20250424003729
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.

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, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

Physician 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.

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

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

Technician (Personal Care Attendant)
10792 ASHLEY LN
WOODBURY, MN 55129

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.

What insurance does Tarikua Katiso accept?

Health plans from Medica list Tarikua Katiso 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 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 with the weekly NPPES data releases published by CMS.