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ANDRAYA J HULDEEN-TIBBETTS M.D.
NPI 1144416728
Obstetrics & Gynecology in Waconia, MN

Active since September 18, 2007PECOS EnrolledAccepts Medicare Assignment
560 S MAPLE ST, SUITE 130, WACONIA, MN 55387(952) 442-2137(952) 442-5904 Get Directions Write a Review

NPPES record last updated: October 3, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Andraya J Huldeen-tibbetts M.d. NPPES

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

ANDRAYA J HULDEEN-TIBBETTS M.D. (NPI 1144416728) is an individual obstetrics & gynecology provider in Waconia, Minnesota, licensed in Minnesota (50517) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS, is affiliated with Ridgeview Medical Center, and is a graduate of Boston University School Of Medicine (2004).

NPPES Registry Identity

NPI1144416728
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameANDRAYA J HULDEEN-TIBBETTSCredential: M.D.
Location Address560 S MAPLE ST, SUITE 130Waconia, MN 55387-1733
Mailing Address560 S Maple St, Suite 130Waconia, MN 55387-1733 · (952) 442-2137 · Fax (952) 442-5904
Phone(952) 442-2137
Fax(952) 442-5904
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2004
Enumeration DateSeptember 18, 2007
Last NPPES UpdateOctober 3, 2011
✔ NPI 1144416728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MN · 50517
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
560 S MAPLE ST, Waconia, MN 55387
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Accepted Insurance

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

Andraya J Huldeen-tibbetts M.d. 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 ID1254405103
PECOS Enrollment IDI20080811000513
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.

Ridgeview Medical Center

Acute Care Hospitals · Waconia, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240056
Location500 South Maple StreetWaconia, MN 55387 · Carver County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55387 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
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 20

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

DAVID CHARLES EGGERT M.D.
Orthopaedic Surgery (Sports Medicine)
560 S MAPLE ST, SUITE 200
WACONIA, MN 55387
Carver County (952) 442-2163
KATELYNN MARIE WALSH MS, LAT, ATC, EMT
Specialist/Technologist (Athletic Trainer)
560 S MAPLE ST
WACONIA, MN 55387
Carver County (952) 843-8505
MRS. MEGHAN M KOLUMBUS A.T.C.
Specialist/Technologist (Athletic Trainer)
560 S MAPLE ST, SUITE 200
WACONIA, MN 55387
Carver County (952) 442-2163
WESTERN OB/GYN LTD
Obstetrics & Gynecology
560 S MAPLE ST, SUITE 130
WACONIA, MN 55387
Carver County (952) 442-2137
SCOTT MYRON HOLTHUSEN MD
Orthopaedic Surgery (Foot and Ankle Surgery)
560 S MAPLE ST, SUITE 200
WACONIA, MN 55387
Carver County (952) 442-2163
SOMMER NICOLE VAUGHAN PA-C
Physician Assistant
560 S MAPLE ST, SUITE 200
WACONIA, MN 55387
Carver County (952) 442-2163
ROBERT MCCELLAN BARNETT JR. MD
Orthopaedic Surgery
560 S MAPLE ST, SUITE 200
WACONIA, MN 55387
Carver County (952) 442-2163
DR. ROBERT EUGENE SWANSON O.D.
Optometrist
560 S MAPLE ST, SUITE 110
WACONIA, MN 55387
Carver County (952) 442-4445

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 Andraya Huldeen-tibbetts's NPI number?

The NPI number for Andraya Huldeen-tibbetts is 1144416728. It was assigned to this individual provider in the NPPES registry on September 18, 2007.

Where is Andraya Huldeen-tibbetts located?

Andraya Huldeen-tibbetts practices at 560 S Maple St Suite 130, Waconia, MN 55387. The listed phone number is (952) 442-2137.

What is Andraya Huldeen-tibbetts's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Andraya Huldeen-tibbetts enrolled in Medicare?

Yes. Andraya Huldeen-tibbetts 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 Andraya Huldeen-tibbetts accept?

Health plans from HealthPartners and Medica list Andraya Huldeen-tibbetts 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 Andraya Huldeen-tibbetts affiliated with any hospitals?

According to CMS data, Andraya Huldeen-tibbetts is affiliated with Ridgeview Medical Center.

When was this NPI record last updated?

The NPPES record for Andraya Huldeen-tibbetts was last updated on October 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.