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JULIE GUENTHER TEBBEN CNP
NPI 1336405166
Nurse Practitioner - Women's Health in Vadnais Heights, MN

Active since April 05, 2012Opted out of Medicare · through Aug 12, 2028
3485 WILLOW LAKE BLVD, SUITE 100, VADNAIS HEIGHTS, MN 55110(651) 484-5567(165) 134-4440 Get Directions Write a Review

NPPES record last updated: April 5, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Julie Guenther Tebben Cnp NPPES

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

JULIE GUENTHER TEBBEN CNP (NPI 1336405166) is an individual women's health provider in Vadnais Heights, Minnesota, licensed in Minnesota (R119158-1) and active in the NPI registry since April 2012. She has opted out of Medicare through August 12, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1336405166
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameJULIE GUENTHER TEBBENCredential: CNP
Location Address3485 WILLOW LAKE BLVD, SUITE 100Vadnais Heights, MN 55110-5152
Mailing Address3485 Willow Lake Blvd, Suite 100Vadnais Heights, MN 55110-5152 · (651) 484-5567 · Fax (165) 134-4440
Phone(651) 484-5567
Fax(165) 134-4440
Sole ProprietorNo
Enumeration DateApril 5, 2012
✔ NPI 1336405166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in MN · R119158-1
3485 WILLOW LAKE BLVD, Vadnais Heights, MN 55110
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Julie Guenther Tebben Cnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 12, 2014 through August 12, 2028.

Opt-Out Effective DateAugust 12, 2014
Opt-Out In Effect ThroughAugust 12, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55110 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 3

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

MINNESOTA NATURAL MEDICINE
General Practice
3485 WILLOW LAKE BLVD, #100
VADNAIS HEIGHTS, MN 55110
Ramsey County (651) 484-5567
MINNESOTA NATURAL MEDICINE
Naturopath
3485 WILLOW LAKE BLVD, #100
VADNAIS HEIGHTS, MN 55110
Ramsey County (651) 484-5567
MEDICAL ARTS FOOT CLINICS, P. A.
Podiatrist (Foot Surgery)
3485 WILLOW LAKE BLVD, SUITE 300
SAINT PAUL, MN 55110
Ramsey County (651) 765-8200

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 Julie Tebben's NPI number?

The NPI number for Julie Tebben is 1336405166. It was assigned to this individual provider in the NPPES registry on April 5, 2012.

Where is Julie Tebben located?

Julie Tebben practices at 3485 Willow Lake Blvd Suite 100, Vadnais Heights, MN 55110. The listed phone number is (651) 484-5567.

What is Julie Tebben's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Julie Tebben enrolled in Medicare?

No. Julie Tebben has opted out of Medicare through August 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Julie Tebben was last updated on April 5, 2012. 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.