TESS MICHIELUTTI MD
NPI 1477086288
Pediatrics in Maple Grove, MN

Active since April 07, 2017PECOS EnrolledAccepts Medicare Assignment
9555 UPLAND LN N, MAPLE GROVE, MN 55369(952) 993-1440 Get Directions Write a Review

NPPES record last updated: October 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 1, 2021, Sep 18, 2019 (2 updates tracked since 2019).

About Tess Michielutti Md NPPES

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

TESS MICHIELUTTI MD (NPI 1477086288) is an individual pediatrics provider in Maple Grove, Minnesota, licensed in Minnesota (67174) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and is a graduate of University Of Minnesota Medical School (2017).

NPPES Registry Identity

NPI1477086288
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameTESS MICHIELUTTICredential: MD
Location Address9555 UPLAND LN NMaple Grove, MN 55369-4485
Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516
Sole ProprietorYes
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2017
Enumeration DateApril 7, 2017
Last NPPES UpdateOctober 25, 20212 updates tracked since enumeration
NPPES CertifiedOctober 25, 2021
NPI 1477086288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in MN · 67174
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedInternal MedicineTaxonomy 207R00000X · License 67174 (MN)
9555 UPLAND LN N, Maple Grove, MN 55369

Other Names 1

Former Name (1)Tess Baril Md

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

Tess Michielutti Md 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 ID5496022501
PECOS Enrollment IDI20211105001253
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 13

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.

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.
185 services81 patients
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.
94 services70 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.
63 services46 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
55 services47 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
55 services48 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
51 services51 patients

Hospital Affiliations CMS Care Compare

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

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240053
Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County
Emergency services Birthing friendly

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
$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 20

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

Psychologist (Cognitive & Behavioral)
9555 UPLAND LN N
MAPLE GROVE, MN 55369
Marriage & Family Therapist
9555 UPLAND LN N
MAPLE GROVE, MN 55369
Psychologist
9555 UPLAND LN N
MAPLE GROVE, MN 55369
Psychiatry & Neurology (Psychiatry)
9555 UPLAND LN N
MAPLE GROVE, MN 55369
Nurse Practitioner (Family)
9555 UPLAND LN N
MAPLE GROVE, MN 55369
Internal Medicine
9555 UPLAND LN N
MAPLE GROVE, MN 55369
Pediatrics
9555 UPLAND LN N
MAPLE GROVE, MN 55369
Physician Assistant (Surgical)
9555 UPLAND LN N
MAPLE GROVE, MN 55369

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 Tess Michielutti's NPI number?

The NPI number for Tess Michielutti is 1477086288. It was assigned to this individual provider in the NPPES registry on April 7, 2017. The provider is also known as Tess Baril MD.

Where is Tess Michielutti located?

Tess Michielutti practices at 9555 Upland Ln N, Maple Grove, MN 55369. The listed phone number is (952) 993-1440.

What is Tess Michielutti's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Tess Michielutti enrolled in Medicare?

Yes. Tess Michielutti 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 Tess Michielutti accept?

Health plans from HealthPartners and Medica list Tess Michielutti 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 Tess Michielutti affiliated with any hospitals?

According to CMS data, Tess Michielutti is affiliated with Park Nicollet Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Tess Michielutti was last updated on October 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.