ANTENALU DESTA TONA
NPI 1679348247
Nurse Practitioner - Psychiatric/Mental Health in Spring Lake Park, MN
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
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 (PECOS)
Antenalu Desta Tona is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Antenalu Tona reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 50 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 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.
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.
Which organization bills Medicare for Antenalu Tona's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Antenalu Tona reassigns Medicare benefits to Natalis Counseling And Psychology Solutions, P.A. (Saint Paul, 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 Antenalu Tona's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Antenalu Desta Tona · NPI 1679348247
Psychiatric/Mental Health physician in Spring Lake Park, Minnesota. Individual provider, active in the CMS NPPES registry since November 23, 2023.
## Identity
- **NPI:** 1679348247 (Entity type: Individual)
- **Enumerated:** November 23, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 10993 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 8340 5TH ST NE, Spring Lake Park, MN 55432-1135
- **Phone:** (612) 886-5439
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Natalis Counseling And Psychology Solutions, P.A. (NPI 1447369673, Saint Paul, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** November 23, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1679348247) · Data from the CMS NPPES public registry.