GAIL M. PROTHE FNP
NPI 1629135124
Nurse Practitioner - Family in Minnetonka, MN
About Gail M. Prothe Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GAIL M. PROTHE FNP (NPI 1629135124) is an individual family provider in Minnetonka, Minnesota, licensed in Arizona (RN053800) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1996).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Gail M. Prothe Fnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Gail Prothe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gilbert, AZ 85295
- Reassigned Medicare billing, Arizona enrollment
- 39 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55343 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Gail Prothe's NPI number?
The NPI number for Gail Prothe is 1629135124. It was assigned to this individual provider in the NPPES registry on January 3, 2007.
Where is Gail Prothe located?
Gail Prothe practices at 9900 Bren Rd E, Minnetonka, MN 55343. The listed phone number is (602) 571-1306.
What is Gail Prothe's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Gail Prothe enrolled in Medicare?
Yes. Gail Prothe 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.
Which organization bills Medicare for Gail Prothe's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gail Prothe reassigns Medicare benefits to Kmtrask, PLLC (Gilbert, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gail Prothe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gail Prothe accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health and UnitedHealthcare list Gail Prothe 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.
When was this NPI record last updated?
The NPPES record for Gail Prothe was last updated on June 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Gail M. Prothe, FNP · NPI 1629135124
Family physician in Minnetonka, Minnesota. Individual provider, active in the CMS NPPES registry since January 3, 2007.
## Identity
- **NPI:** 1629135124 (Entity type: Individual)
- **Enumerated:** January 3, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN053800 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 9900 BREN RD E, Minnetonka, MN 55343-9664
- **Phone:** (602) 571-1306
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kmtrask, PLLC (NPI 1518413962, Gilbert, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** June 30, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1629135124) · Data from the CMS NPPES public registry.