JUDY ANN DEBOER APNP
NPI 1649558974
Nurse Practitioner in Sartell, MN
About Judy Ann Deboer Apnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUDY ANN DEBOER APNP (NPI 1649558974) is an individual nurse practitioner in Sartell, Minnesota, licensed in Minnesota (12673) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
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
Judy Ann Deboer Apnp 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 Judy Deboer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Savage, MN 55378
- Reassigned Medicare billing, Minnesota enrollment
- 23 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 56377 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Deboer's NPI number?
The NPI number for Judy Deboer is 1649558974. It was assigned to this individual provider in the NPPES registry on August 3, 2011.
Where is Judy Deboer located?
Judy Deboer practices at 2251 Connecticut Ave S Ste 3800, Sartell, MN 56377. The listed phone number is (888) 938-3838.
What is Judy Deboer's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Judy Deboer enrolled in Medicare?
Yes. Judy Deboer 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 Judy Deboer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Judy Deboer reassigns Medicare benefits to Primary Ent, L.L.C. (Savage, MN). 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 Judy Deboer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Judy Deboer was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.
# Judy Ann Deboer, APNP · NPI 1649558974
Nurse Practitioner physician in Sartell, Minnesota. Individual provider, active in the CMS NPPES registry since August 3, 2011.
## Identity
- **NPI:** 1649558974 (Entity type: Individual)
- **Enumerated:** August 3, 2011
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 12673 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2251 CONNECTICUT AVE S STE 3800, Sartell, MN 56377-2574
- **Phone:** (888) 938-3838 · **Fax:** (888) 919-1083
## 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:** Primary Ent, L.L.C. (NPI 1386374593, Savage, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** October 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1649558974) · Data from the CMS NPPES public registry.