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JUDY PAULETICH CNP
NPI 1528500360
Nurse Practitioner - Adult Health in Maplewood, MN

Active since November 10, 2016PECOS EnrolledAccepts Medicare Assignment
5.71/100
CMS Quality Rating
1255 MAYHILL RD N, MAPLEWOOD, MN 55119(715) 529-6213 Get Directions Write a Review

NPPES record last updated: March 29, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 29, 2017, Nov 10, 2016 (2 updates tracked since 2016).

About Judy Pauletich Cnp NPPES

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

JUDY PAULETICH CNP (NPI 1528500360) is an individual adult health provider in Maplewood, Minnesota, licensed in Minnesota (R111663-4) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1528500360
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJUDY PAULETICHCredential: CNP
Location Address1255 MAYHILL RD NMaplewood, MN 55119-7158
Mailing Address1255 Mayhill Rd NMaplewood, MN 55119-7158 · (715) 529-6213
Phone(715) 529-6213
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 10, 2016
Last NPPES UpdateMarch 29, 20172 updates tracked since enumeration
✔ NPI 1528500360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MN · R111663-4
1255 MAYHILL RD N, Maplewood, MN 55119
Open in Google Maps ↗

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

Judy Pauletich Cnp 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 ID1254382757
PECOS Enrollment IDI20170104000058
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 12

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.

Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489
Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.
1,447 services125 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
585 services151 patients
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487
Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.
352 services125 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
248 services65 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
159 services75 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
127 services66 patients

Hospital Affiliations CMS Care Compare

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

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55119 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.

5.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost19.06

Referred Medical Equipment & Supplies CMS DME claims 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Sterile water, saline and/or dextrose, diluent/flush, 10 ml A4216
DME-Medical/Surgical Supplies · category DA000N
1 supplier15 claims850 services$0.43 avg. paid by Medicare
Tracheal suction catheter, closed system, each A4605
DME-Other DME · category DE000N
1 supplier12 claims221 services$15.83 avg. paid by Medicare
Oropharyngeal suction catheter, each A4628
DME-Other DME · category DE000N
1 supplier18 claims70 services$3.41 avg. paid by Medicare
Tracheostomy care kit for established tracheostomy A4629
DME-Orthotic Devices · category DF000N
1 supplier43 claims1,296 services$4.39 avg. paid by Medicare
Canister, disposable, used with suction pump, each A7000
DME-Other DME · category DE000N
1 supplier26 claims104 services$6.53 avg. paid by Medicare
Tubing, used with suction pump, each A7002
DME-Other DME · category DE000N
1 supplier24 claims92 services$3.55 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Judy Pauletich's NPI number?

The NPI number for Judy Pauletich is 1528500360. It was assigned to this individual provider in the NPPES registry on November 10, 2016.

Where is Judy Pauletich located?

Judy Pauletich practices at 1255 Mayhill Rd N, Maplewood, MN 55119. The listed phone number is (715) 529-6213.

What is Judy Pauletich's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Judy Pauletich enrolled in Medicare?

Yes. Judy Pauletich 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 Judy Pauletich accept?

Health plans from Medica list Judy Pauletich 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 Judy Pauletich affiliated with any hospitals?

According to CMS data, Judy Pauletich is affiliated with M Health Fairview University Of Mn.

When was this NPI record last updated?

The NPPES record for Judy Pauletich was last updated on March 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.