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SONJA THEOBALD
NPI 1073129300
Nurse Practitioner - Psychiatric/Mental Health in Minneapolis, MN

Active since September 22, 2020PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
615 1ST AVE NE STE 310, MINNEAPOLIS, MN 55413(612) 436-0295(612) 436-0163 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 1, 2021, Nov 8, 2020, Sep 22, 2020 (3 updates tracked since 2020).

About Sonja Theobald NPPES

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

SONJA THEOBALD (NPI 1073129300) is an individual psychiatric/mental health provider in Minneapolis, Minnesota, licensed in Minnesota (7748) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1073129300
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSONJA THEOBALD
Location Address615 1ST AVE NE STE 310Minneapolis, MN 55413-2419
Mailing Address615 1st Ave Ne Ste 310Minneapolis, MN 55413-2419 · (612) 436-0295 · Fax (612) 436-0163
Phone(612) 436-0295
Fax(612) 436-0163
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 22, 2020
Last NPPES UpdateApril 1, 20213 updates tracked since enumeration
NPPES CertifiedApril 1, 2021
✔ NPI 1073129300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MN · 7748
615 1ST AVE NE STE 310, Minneapolis, MN 55413
Open in Google Maps ↗

Accepted Insurance

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

Sonja Theobald 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 ID547671372
PECOS Enrollment IDI20201130000504
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 55413 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

Other Providers at the Same Location NPPES 10

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

LINDSEY ALEXANDRA HANKA
Registered Nurse
615 1ST AVE NE STE 310
MINNEAPOLIS, MN 55413
Hennepin County (612) 436-0295
MINNEAPOLIS TMS LLC
Clinic/Center (Adult Mental Health)
615 1ST AVE NE STE 310
MINNEAPOLIS, MN 55413
Hennepin County (612) 436-0295
MRS. JODY MICHELLE SCHOENECKER CNP
Nurse Practitioner (Psychiatric/Mental Health)
615 1ST AVE NE STE 310
MINNEAPOLIS, MN 55413
Hennepin County (612) 436-0295
NICHOLE R KOTTKE LICSW
Social Worker (Clinical)
615 1ST AVE NE STE 310
MINNEAPOLIS, MN 55413
Hennepin County (612) 436-0295
MATTHEW CLIFFORD HELLING PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
615 1ST AVE NE STE 310
MINNEAPOLIS, MN 55413
Hennepin County (612) 436-0295
THOMAS KELLER LPCC
Counselor (Professional)
615 1ST AVE NE STE 310
MINNEAPOLIS, MN 55413
Hennepin County (612) 436-0295
ANDREA LAUREL DUPRE I
Nurse Practitioner (Psychiatric/Mental Health)
615 1ST AVE NE STE 310
MINNEAPOLIS, MN 55413
Hennepin County (612) 436-0295
JENNIFER EVANS
Nurse Practitioner (Psychiatric/Mental Health)
615 1ST AVE NE STE 310
MINNEAPOLIS, MN 55413
Hennepin County (612) 436-0295

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 Sonja Theobald's NPI number?

The NPI number for Sonja Theobald is 1073129300. It was assigned to this individual provider in the NPPES registry on September 22, 2020.

Where is Sonja Theobald located?

Sonja Theobald practices at 615 1st Ave NE Ste 310, Minneapolis, MN 55413. The listed phone number is (612) 436-0295.

What is Sonja Theobald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Sonja Theobald enrolled in Medicare?

Yes. Sonja 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 Sonja Theobald accept?

Health plans from HealthPartners and Sanford Health Plan list Sonja 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.

When was this NPI record last updated?

The NPPES record for Sonja Theobald was last updated on April 1, 2021. 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.