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TANNER JESUS VERDUZCO
NPI 1073276259
Physician Assistant in Maple Grove, MN

Active since October 14, 2021PECOS EnrolledAccepts Medicare Assignment
12000 ELM CREEK BLVD N STE 300, MAPLE GROVE, MN 55369(952) 841-2345(952) 841-2346 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 10, 2023, Oct 14, 2021 (2 updates tracked since 2021).

About Tanner Jesus Verduzco NPPES

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

TANNER JESUS VERDUZCO (NPI 1073276259) is an individual physician assistant in Maple Grove, Minnesota and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Edina, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1073276259
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTANNER JESUS VERDUZCO
Location Address12000 ELM CREEK BLVD N STE 300Maple Grove, MN 55369-7075
Mailing Address7235 Ohms LnEdina, MN 55439-2148 · (952) 841-2345 · Fax (952) 841-2346
Phone(952) 841-2345
Fax(952) 841-2346
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 14, 2021
Last NPPES UpdateDecember 21, 20232 updates tracked since enumeration
NPPES CertifiedDecember 21, 2023
✔ NPI 1073276259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
12000 ELM CREEK BLVD N STE 300, Maple Grove, MN 55369
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Secondary Practice Location 1

Location 17235 Ohms LnEdina, MN 55439-2148 · Phone (952) 841-2345 · Fax (952) 841-2346

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 and accepts Medicare assignment

Tanner Jesus Verduzco 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 ID9335504752
PECOS Enrollment IDI20230508000958
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
509 services214 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
83 services55 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0481
A definitive drug test is a detailed analysis used to identify specific drugs in your system. It uses advanced techniques, such as gc/ms and lc/ms, to detect and distinguish between different drugs, even those with similar structures.
55 services38 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
38 services31 patients
Electronic analysis reprogramming and refill of spinal canal drug infusion pump 62369
This procedure involves checking and adjusting a small device placed under your skin that delivers medication directly to your spinal canal. The device is reprogrammed as needed and the medicine is refilled to manage your pain effectively.
25 services14 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
25 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55369 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
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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 4

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

DR. ANDREW JOHN PISANSKY MD, MS
Anesthesiology (Pain Medicine)
12000 ELM CREEK BLVD N STE 300
MAPLE GROVE, MN 55369
Hennepin County (952) 841-2345
ANDREW J WILL MD PA
Physical Medicine & Rehabilitation
12000 ELM CREEK BLVD N STE 300
MAPLE GROVE, MN 55369
Hennepin County (952) 841-2345
ERIN ANN PLOURDE PA-C
Physician Assistant
12000 ELM CREEK BLVD N STE 300
MAPLE GROVE, MN 55369
Hennepin County (952) 841-2345
AIMEE HEINEN CNP
Nurse Practitioner
12000 ELM CREEK BLVD N STE 300
MAPLE GROVE, MN 55369
Hennepin County (952) 841-2345

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 Tanner Verduzco's NPI number?

The NPI number for Tanner Verduzco is 1073276259. It was assigned to this individual provider in the NPPES registry on October 14, 2021.

Where is Tanner Verduzco located?

Tanner Verduzco practices at 12000 Elm Creek Blvd N Ste 300, Maple Grove, MN 55369. The listed phone number is (952) 841-2345.

What is Tanner Verduzco's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tanner Verduzco enrolled in Medicare?

Yes. Tanner Verduzco 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 Tanner Verduzco accept?

Health plans from Medica list Tanner Verduzco 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 Tanner Verduzco was last updated on December 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.