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ANTENALU DESTA TONA
NPI 1679348247
Nurse Practitioner - Psychiatric/Mental Health in Spring Lake Park, MN

Active since November 23, 2023PECOS Enrolled
8340 5TH ST NE, SPRING LAKE PARK, MN 55432(612) 886-5439 Get Directions Write a Review

NPPES record last updated: November 23, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Antenalu Desta Tona NPPES

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

ANTENALU DESTA TONA (NPI 1679348247) is an individual psychiatric/mental health provider in Spring Lake Park, Minnesota, licensed in Minnesota (10993) and active in the NPI registry since November 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1679348247
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameANTENALU DESTA TONA
Location Address8340 5TH ST NESpring Lake Park, MN 55432-1135
Mailing Address8340 5th St NeSpring Lake Park, MN 55432-1135 · (612) 886-5439
Phone(612) 886-5439
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 23, 2023
NPPES CertifiedNovember 23, 2023
✔ NPI 1679348247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MN · 10993
8340 5TH ST NE, Spring Lake Park, MN 55432
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Antenalu Desta Tona is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244774891
PECOS Enrollment IDI20240708000355
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55432 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.

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 Antenalu Tona's NPI number?

The NPI number for Antenalu Tona is 1679348247. It was assigned to this individual provider in the NPPES registry on November 23, 2023.

Where is Antenalu Tona located?

Antenalu Tona practices at 8340 5th St NE, Spring Lake Park, MN 55432. The listed phone number is (612) 886-5439.

What is Antenalu Tona's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Antenalu Tona enrolled in Medicare?

Yes. Antenalu Tona is registered in the Medicare PECOS enrollment system.

What insurance does Antenalu Tona accept?

Health plans from HealthPartners list Antenalu Tona 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 Antenalu Tona was last updated on November 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.