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DR. TATE ALAN GISSLEN MD
NPI 1629269121
Pediatrics - Neonatal-Perinatal Medicine in Minneapolis, MN

Active since August 08, 2007PECOS Enrolled
2450 RIVERSIDE AVE, UNIVERSITY OF MINNESOTA AMPLATZ CHILDREN'S HOSPITAL, MINNEAPOLIS, MN 55454(612) 672-6000 Get Directions Write a Review

NPPES record last updated: August 15, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Tate Alan Gisslen Md NPPES

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

DR. TATE ALAN GISSLEN MD (NPI 1629269121) is an individual neonatal-perinatal medicine provider in Minneapolis, Minnesota, licensed in Minnesota (106856) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629269121
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. TATE ALAN GISSLENCredential: MD
Location Address2450 RIVERSIDE AVE, UNIVERSITY OF MINNESOTA AMPLATZ CHILDREN'S HOSPITALMinneapolis, MN 55454-1450
Mailing Address720 Washington Ave Se, Suite 300, University Of Minnesota PhysiciansMinneapolis, MN 55414-2940
Phone(612) 672-6000
Sole ProprietorNo
Enumeration DateAugust 8, 2007
Last NPPES UpdateAugust 15, 2013
✔ NPI 1629269121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in MN · 106856
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
2450 RIVERSIDE AVE, Minneapolis, MN 55454
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tate Alan Gisslen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

9

Medicare enrollment records show Tate Gisslen reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairview Express Care
Same address
Clinic/Center
2450 RIVERSIDE AVE, STE F140
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
NPI 1841428745 (612) 672-6999
Fairview Health Services
Same address
General Acute Care Hospital
2450 RIVERSIDE AVE, OUTREACH LAB DEPARTMENT
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
NPI 1316008212 (612) 273-7838
Fairview Specialty Services
Same address
Physical Therapy
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,373 clinicians in this Medicare group
NPI 1043199334 (855) 324-7843
University Of Minnesota Pediatric Dental Clinic
0.1 mi
Dentist
701 25TH AVE S, SUITE 400
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: University Of Minnesota Physicians
  • 1,453 clinicians in this Medicare group
NPI 1992075287 (651) 659-4900
Fairview Clinics
0.1 mi
Clinic/Center
606 24TH AVE S, STE 602
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,302 clinicians in this Medicare group
NPI 1043516867 (612) 273-6099
University Of Minnesota Health Clinics And Surgery Center Inc
0.7 mi
Anesthesiology
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,662 clinicians in this Medicare group
NPI 1003485004 (612) 273-8383
Childrens Health Care
1.4 mi
Anatomic Pathology & Clinical Pathology
2525 CHICAGO AVE S
Minneapolis, MN 55404
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Children's Health Care
  • 551 clinicians in this Medicare group
NPI 1053410928 (612) 813-6280
Healtheast Medical Research Institute
3.3 mi
Internal Medicine
1700 UNIVERSITY AVE W, 6TH FLOOR WEST
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,361 clinicians in this Medicare group
NPI 1508191552 (651) 232-2273
Healtheast St. John's Hospital
3.3 mi
Anesthesiology
1700 UNIVERSITY AVE W
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,178 clinicians in this Medicare group
NPI 1558240853 (855) 324-7843

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MICHELLE IRENE GRAY
Rehabilitation Practitioner
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
DR. KATHLEEN F SADAK MD
Pediatrics
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-6402
DR. ADMATHA MUTHYALA WINFRED MD
Internal Medicine (Geriatric Medicine)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
KELLY SCHELLER WILLIAMS
Dietitian, Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-3216
MRS. MARY SUSAN CLIPP CPNP-AC
Nurse Practitioner (Pediatrics, Critical Care)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 365-3100
DANIEL TESFAYE KEBED MD
Internal Medicine
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
MS. CHELSEA ANJELICA MIELKE PA-C
Physician Assistant
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
MRS. JESSICA LYNN MCADAM
Nurse Anesthetist, Certified Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-8383

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 Tate Gisslen's NPI number?

The NPI number for Tate Gisslen is 1629269121. It was assigned to this individual provider in the NPPES registry on August 8, 2007.

Where is Tate Gisslen located?

Tate Gisslen practices at 2450 Riverside Ave University Of Minnesota Amplatz Children's Hospital, Minneapolis, MN 55454. The listed phone number is (612) 672-6000.

What is Tate Gisslen's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Tate Gisslen enrolled in Medicare?

Yes. Tate Gisslen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tate Gisslen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tate Gisslen reassigns Medicare benefits to 9 organizations: Fairview Express Care (Minneapolis, MN), Fairview Health Services (Minneapolis, MN), Fairview Specialty Services (Minneapolis, MN), University Of Minnesota Pediatric Dental Clinic (Minneapolis, MN), Fairview Clinics (Minneapolis, MN) and 4 more organizations, listed in the Medicare section above. Each 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 Tate Gisslen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tate Gisslen accept?

Health plans from HealthPartners and Sanford Health Plan list Tate Gisslen 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 Tate Gisslen was last updated on August 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.