TINA BENGTSON NP-C
NPI 1467025304
Nurse Practitioner - Family in Annandale, MN

Active since July 19, 2021PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
440 ELM ST E, ANNANDALE, MN 55302(320) 274-3744(320) 274-8194 Get Directions Write a Review

NPPES record last updated: November 17, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 17, 2022, Jul 19, 2021 (2 updates tracked since 2021).

About Tina Bengtson Np-c NPPES

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

TINA BENGTSON NP-C (NPI 1467025304) is an individual family provider in Annandale, Minnesota, licensed in Minnesota (8311) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Buffalo Hospital, and maintains a secondary practice location in Bloomington.

NPPES Registry Identity

NPI1467025304
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTINA BENGTSONCredential: NP-C
Location Address440 ELM ST EAnnandale, MN 55302-1109
Mailing Address8936 Lyndale Ave SBloomington, MN 55420-2742 · (952) 881-0163
Fax(320) 274-8194
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 19, 2021
Last NPPES UpdateNovember 17, 20222 updates tracked since enumeration
NPPES CertifiedNovember 17, 2022
NPI 1467025304 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 · 8311
440 ELM ST E, Annandale, MN 55302

Other Names 1

Former Name (1)Tina Mickolichek

Secondary Practice Location 1

Location 18936 Lyndale Ave SBloomington, MN 55420-2742 · Phone (952) 881-0163

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

Tina Bengtson Np-c 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 ID1456749985
PECOS Enrollment IDI20211102001408
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 11

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.
79 services46 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
74 services48 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.
74 services65 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
35 services21 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
25 services16 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
22 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Buffalo Hospital

Acute Care Hospitals · Buffalo, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number240076
Location303 Catlin StreetBuffalo, MN 55313 · Wright County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55302 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 7

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

Social Worker (Clinical)
440 ELM ST E
ANNANDALE, MN 55302
Nurse Practitioner (Adult Health)
440 ELM ST E
ANNANDALE, MN 55302
Family Medicine
440 ELM ST E
ANNANDALE, MN 55302
Nurse Practitioner (Family)
440 ELM ST E
ANNANDALE, MN 55302
Physician Assistant
440 ELM ST E
ANNANDALE, MN 55302
Family Medicine
440 ELM ST E
ANNANDALE, MN 55302
Family Medicine
440 ELM ST E
ANNANDALE, MN 55302

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 Tina Bengtson's NPI number?

The NPI number for Tina Bengtson is 1467025304. It was assigned to this individual provider in the NPPES registry on July 19, 2021. The provider is also known as Tina Mickolichek.

Where is Tina Bengtson located?

Tina Bengtson practices at 440 Elm St E, Annandale, MN 55302. The listed phone number is (320) 274-3744.

What is Tina Bengtson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tina Bengtson enrolled in Medicare?

Yes. Tina Bengtson 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 Tina Bengtson accept?

Health plans from HealthPartners and Medica list Tina Bengtson 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 Tina Bengtson affiliated with any hospitals?

According to CMS data, Tina Bengtson is affiliated with Buffalo Hospital.

When was this NPI record last updated?

The NPPES record for Tina Bengtson was last updated on November 17, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.